Stephanie M Lake-Melton

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085004282

Status

Inactive

First issued

February 21, 2012

Expired

March 1, 2016

License holder

Stephanie M Lake-Melton

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/27/2014

Other Illinois licenses under this name

• IL
  Stephanie M Lake-Melton

  License 38*****97

  Physician Assistant Controlled Substance
  Expired

  Roscoe, IL

  Expired Mar 1, 2016

Contact