License holder summary

LISA MARIE GRAVELLE is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for LISA MARIE GRAVELLE is MURRAY, UT 84107. This licensed professional license is current. The license was granted 05/18/2004 and expired on 01/31/2016.

Utah

Division of Occupational and Professional Licensing

LISA MARIE GRAVELLE
Physician - Physician & Surgeon
License number
5640031-1205
Date granted
05/18/2004
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
MURRAY, UT 84107
utahlicensing.org
ID 29929015
LAST UPDATED 2026-03-28 01:19:45 UTC

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