LISA MARIE GRAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154514

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

MARIE

Last Name

GRAY

Business Name

LISA MARIE GRAY MD

Original Issue Date

10/15/2020

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/22/2023