License holder summary

CHANG SUP LEE is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for CHANG SUP LEE is NEWARK OH 43055. This medical practitioner license is not current. The license was granted 07/01/1972 and expired on 12/31/1992.

Department of State

Board of Medicine

CHANG SUP LEE
Medical Physician And Surgeon
License number
MD033365L
Date granted
07/01/1972
Date expires
12/31/1992
Class
Medical Physician And Surgeon
Status
Surrendered
Address
NEWARK OH 43055
medicinepa.com
ID 37636761
LAST UPDATED 2024-03-18 13:04:41 UTC

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