ANN HILLERY LAKE Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074255

License Status

INACTIVE

Business

First Name

ANN HILLERY

Last Name

LAKE

Business Name

ANN HILLERY LAKE

Original Issue Date

12/16/1986

Effective Date

12/16/1986

Expiration Date

07/31/1990

City

NORFOLK

State

Zip

23508

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006