LISA MARIE GRAY DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130555

License Status

INACTIVE

Business

Title

First Name

LISA

Middle

MARIE

Last Name

GRAY

Business Name

LISA MARIE GRAY DO

Original Issue Date

06/12/2012

Effective Date

06/12/2012

Expiration Date

07/31/2014

City

KALAMAZOO

State

Zip

49009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/17/2014