LEE GRAVATT WILKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134413

License Status

ACTIVE

Business

Title

First Name

LEE

Middle

GRAVATT

Last Name

WILKE

Business Name

LEE GRAVATT WILKE MD

Original Issue Date

01/10/2014

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/15/2023