CHARLEEN J LAKE DDS - Dentist License in Illinois | # 019016578

CHARLEEN J LAKE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016578

License Status

NOT RENEWED

Business

N

First Name

CHARLEEN J

Last Name

LAKE

Suffix

DDS

Business Name

CHARLEEN J LAKE DDS

Original Issue Date

10/18/1978

Effective Date

09/24/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022