LISA K GRUBER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101166

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

GRUBER

Business Name

LISA K GRUBER

Original Issue Date

08/30/1999

Effective Date

08/30/1999

Expiration Date

07/31/2002

City

NORTH ANDOVER

State

Zip

01845

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/09/2006