MARY ELIZABETH LAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102561

License Status

ACTIVE

Business

First Name

MARY

Middle

ELIZABETH

Last Name

LAKE

Suffix

Business Name

MARY ELIZABETH LAKE MD

Original Issue Date

05/26/2000

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023