Kevin Bruce Lake Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036041444

Status

Expired (Not Renewed)

First issued

November 16, 1967

License holder

Kevin Bruce Lake Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

11/16/1967

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