ANDREW K LEE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

INOPERATIVE

Business

First Name

ANDREW

Middle

Last Name

LEE

Business Name

ANDREW K LEE

Original Issue Date

07/26/2016

Effective Date

08/01/2016

Expiration Date

03/01/2018

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2018