License holder summary

MICHAEL WOLFGANG LAKE is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MICHAEL WOLFGANG LAKE is Chicago IL 60606. This medical practitioner license is current. The license was granted 02/18/2016 and expired on 06/30/2017.

Department of State

Board of Medicine

MICHAEL WOLFGANG LAKE
Graduate Medical Trainee
License number
MT210122
Date granted
02/18/2016
Date expires
06/30/2017
Class
Graduate Medical Trainee
Status
Active
Address
Chicago IL 60606
medicinepa.com
ID 37548174
LAST UPDATED 2021-05-27 10:16:13 UTC

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