License Search: Details

Name Title Primary Practice Location Licensed Or Has Been Licensed In
Michael Lee Province PA No other states on file

License History

License Type License Number Status License Date Expiration Date
DPA 125 Expired 05/11/1981 08/19/1999

Education History

School Date Completed Nature of Training
Informally Trained Physician Assistant Did Not Attend A Pa School Physician Assistant School

Discipline/Board Action History

Discipline/Board Action Type of Action Action Date Public Documents
Yes Reprimand or Censure 11/15/1988
Yes Probation of License 1/18/1991
Yes Probation of License 1/31/1995

Malpractice History

No Malpractice Cases On Record

Current Authorizations to Practice

Collaborating Physician Authorized to Practice Authorized to Prescribe Primary Work Location Designated Alternate Supervisor(s)

This data was retrieved on 4/17/2026.