Indiana
Professional Licensing Agency
Mark Adrian Lake
Physician
License number
01055166A
Date granted
10/18/2001
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Lafayette IN 47905
indianalicensing.org
ID 6068959
LAST UPDATED 2024-04-13 06:03:40 UTC
LAST UPDATED 2024-04-13 06:03:40 UTC
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