Department of State
Board of Medicine
TIFFANY MICHELLE LAKE
Graduate Medical Trainee
License number
MT208180
Date granted
04/20/2015
Date expires
06/23/2016
Class
Graduate Medical Trainee
Status
Active
Address
Elkins Park PA 19027
medicinepa.com
ID 37548094
LAST UPDATED 2024-02-28 20:23:46 UTC
LAST UPDATED 2024-02-28 20:23:46 UTC
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