LEE M DEDORE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003692

License Status

ACTIVE

Business

First Name

LEE

Middle

Last Name

DEDORE

Business Name

LEE M DEDORE

Original Issue Date

02/09/2010

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

Ever Disciplined

LastModifiedDate

12/17/2025