SUZETTE SUK FONG LEE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001140

License Status

NOT RENEWED

Business

First Name

SUZETTE SUK

Middle

FONG

Last Name

LEE

Business Name

SUZETTE SUK FONG LEE

Original Issue Date

01/11/1999

Effective Date

03/04/2010

Expiration Date

03/01/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012