LISA MARIE GRAY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055796

License Status

CANCELLED

Business

Title

First Name

LISA

Middle

MARIE

Last Name

GRAY

Business Name

LISA MARIE GRAY DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

04/30/2009