LISA G GRILLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127752

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

Last Name

GRILLY

Business Name

LISA G GRILLY MD

Original Issue Date

05/02/2011

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/15/2023