LISA A GRAMLICH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

LISA A

Last Name

GRAMLICH

Suffix

Business Name

LISA A GRAMLICH MD

Original Issue Date

07/23/1992

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023