LISA PETERSON SALATA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177995

License Status

ACTIVE

Business

Title

First Name

LISA

Middle

PETERSON

Last Name

SALATA

Business Name

LISA PETERSON SALATA MD

Original Issue Date

11/19/2025

Effective Date

11/19/2025

Expiration Date

07/31/2026

City

DAYTON

State

Zip

45415

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

11/19/2025