Stephanie M Lake-Melton

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

38*****97

Status

Expired (Not Renewed)

First issued

September 26, 2013

Expired

March 1, 2016

License holder

Stephanie M Lake-Melton

Entity type

Individual

Classifications

• Physician Assistant Controlled Substance Physicians & Surgeons

More from the license record

Current term began

03/25/2014

Other Illinois licenses under this name

• IL
  Stephanie M Lake-Melton

  License 085004282

  Licensed Physician Assistant
  Inactive

  Beloit, WI

  Expired Mar 1, 2016

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