LISA K GRUBER - Medical Doctor License in Massachusetts | # 036101166

LISA K GRUBER

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101166

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

K

Last Name

GRUBER

Business Name

LISA K GRUBER

Original Issue Date

08/30/1999

Effective Date

08/30/1999

Expiration Date

07/31/2002

State

MA

Ever Disciplined

N

LastModifiedDate

10/09/2006