MICHELLE JUNE LEE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

JUNE

Last Name

LEE

Business Name

MICHELLE JUNE LEE

Original Issue Date

08/23/2018

Effective Date

08/23/2018

Expiration Date

03/01/2020

City

OAK LAWN

State

Zip

60453

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020