License holder summary

LynnAne Lake is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for LynnAne Lake is Fort Wayne IN 46806-1533. This licensed professional license is not current. The license was granted 11/30/2010 and expired on 05/30/2011.

Indiana

Professional Licensing Agency

LynnAne Lake
Radiology Provisional Permit
License number
XP503023
Date granted
11/30/2010
Date expires
05/30/2011
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Fort Wayne IN 46806-1533
indianalicensing.org
ID 8490997
LAST UPDATED 2024-04-03 01:58:13 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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