RUSSELL DENIS LEE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104747

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

DENIS

Last Name

LEE

Suffix

Business Name

RUSSELL DENIS LEE MD

Original Issue Date

05/17/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

HOPEWELL

State

Zip

23860

Ever Disciplined

LastModifiedDate

02/03/2009