ELLYN M LEE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105594

License Status

INACTIVE

Business

Title

First Name

ELLYN

Middle

Last Name

LEE

Business Name

ELLYN M LEE MD

Original Issue Date

09/18/2001

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

SEATTLE

State

Zip

98104

Ever Disciplined

LastModifiedDate

07/09/2014