Marjorie Gilbert Lake
Controlled Substance Registration - Physician
Indiana 01024834B Active
This Indiana license is held by Marjorie Gilbert Lake. The license is currently active. It was granted on 12/31/1985 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01024834B
- Category: CSR-Physician
- Status: Active
- Date Granted: 12/31/1985 (over 40 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
Marjorie E. Lake, MD,, 3209 W. Smith Valley Rd. Ste. 251, Greenwood IN 46142-8495
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