ROBERT ROLAND LAKE
Substance Use Disorder - Licensed Sudc
Utah 5219969-6006 Deceased
This Utah license was held by ROBERT ROLAND LAKE. The license is no longer active. It was granted on 11/05/2002 and expired on 09/24/2004
LICENSE DETAILS
- License Number: 5219969-6006
- Category: LICENSED SUDC
- Status: Deceased
- Date Granted: 11/05/2002 (over 22 years ago)
- Expiry Date: 09/24/2004 (almost 21 years ago)
LOCATIONS
A Address
MURRAY, UT 84107