LEE GRAVATT WILKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

LEE

Middle

GRAVATT

Last Name

WILKE

Business Name

LEE GRAVATT WILKE MD

Original Issue Date

01/10/2014

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53792

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023