Mark Adrian Lake
Temporary Medical Doctor Permit
Indiana 99004273A Superceded
This Indiana license was held by Mark Adrian Lake. The license is no longer active. It was granted on 10/18/2001 and expired on 10/18/2001
LICENSE DETAILS
- License Number: 99004273A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 10/18/2001 (over 23 years ago)
- Expiry Date: 10/18/2001 (over 23 years ago)
LOCATIONS
A Address
Lafayette IN 47905