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Licensing details for: PTL 16116

Name: Lee, Jae Han

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: Loyola University of Chicago Stritch School of Medicine

Graduation Year: 2024

Current Enrolled Postgraduate Training Program

Facility Name: HCA Healthcare Riverside Program

City: Riverside

State: California

Speciality: Internal medicine

Start Date: 07/01/2024

Anticipated End Date: 06/30/2027

Address of Record

4510 Brockton Ave Ste 262
RIVERSIDE CA 92501-4015
RIVERSIDE county
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Issuance Date

August 28, 2024

Expiration Date

N/A

Current Date / Time

April 3, 2026
2:03:36 AM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: Lee, Jae Han

License/Registration Type: Physician's and Surgeon's

License Number: 204243 Primary Status: License Renewed & Current

Address :
4445 Magnolia Ave
RIVERSIDE CA 92501-4135
RIVERSIDE COUNTY

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