LANE S LAKEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086399

License Status

NOT RENEWED

Business

First Name

LANE

Middle

Last Name

LAKEN

Suffix

Business Name

LANE S LAKEN MD

Original Issue Date

06/10/1993

Effective Date

06/10/1993

Expiration Date

07/31/2005

City

BRANDON

State

Zip

39047

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

10/09/2006