LISA-MARIE A GRAY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

ACTIVE

Business

First Name

LISA-MARIE

Middle

Last Name

GRAY

Business Name

LISA-MARIE A GRAY

Original Issue Date

10/06/2009

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

WESTMONT

State

Zip

60559

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025