Mark Adrian Lake

Physician

Indiana  01055166A   Active

This Indiana license is held by Mark Adrian Lake. The license is currently active. It was granted on 10/18/2001 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01055166A
  • Category: Physician
  • Status: Active
  • Date Granted: 10/18/2001 (almost 25 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

Lafayette IN 47905