KATRINA T LAKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141229

License Status

ACTIVE

Business

Title

First Name

KATRINA

Middle

Last Name

LAKE

Business Name

KATRINA T LAKE MD

Original Issue Date

07/14/2016

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

09/26/2025