Alan Mason Lake
Medical - Physician
Colorado 18823 Expired
This Colorado license was held by Alan Mason Lake. The license is no longer active. It was granted on 07/09/1974 and expired on 12/31/1979
LICENSE DETAILS
- License Number: 18823
- Category: Physician
- Status: Expired
- Date Granted: 07/09/1974 (almost 51 years ago)
- Expiry Date: 12/31/1979 (over 45 years ago)
LOCATIONS
A Address
911 SOUTHWICK DR, BALTIMORE, MD, 21204-1204