LISA MARIE GRAY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

MARIE

Last Name

GRAY

Business Name

LISA MARIE GRAY MD

Original Issue Date

11/04/2020

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023