MIKHAILIA LAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173265

License Status

ACTIVE

Business

Title

First Name

MIKHAILIA

Last Name

LAKE

Business Name

MIKHAILIA LAKE MD

Original Issue Date

01/05/2025

Effective Date

01/05/2025

Expiration Date

07/31/2026

City

FORT LAUDERDALE

State

Zip

33316

Ever Disciplined

LastModifiedDate

01/05/2025