BRIAN R LEE Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

First Name

BRIAN R

Last Name

LEE

Business Name

BRIAN R LEE

Original Issue Date

06/18/1985

Effective Date

11/04/2024

Expiration Date

01/31/2027

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025