ANN HILLERY LAKE - Medical Doctor License in Virginia | # 036074255

ANN HILLERY LAKE

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074255

License Status

INACTIVE

Business

N

First Name

ANN HILLERY

Last Name

LAKE

Business Name

ANN HILLERY LAKE

Original Issue Date

12/16/1986

Effective Date

12/16/1986

Expiration Date

07/31/1990

State

VA

Ever Disciplined

N

LastModifiedDate

09/20/2006