Valerie E. Lake
Controlled Substance Registration - Dentist
Indiana 12010452B Active
This Indiana license is held by Valerie E. Lake. The license is currently active. It was granted on 08/12/2002 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010452B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 08/12/2002 (almost 22 years ago)
- Expiry Date: 03/01/2016 (over 8 years ago)
LOCATIONS
A Address
Matthew 25 Health & Dental Clinic, 413 East Jefferson Boulevard, Fort Wayne IN 46802
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