Arizona
Board of Licensing
Jason Edward Lake MD
Medical Doctor
License number
42724
Date granted
11/24/2009
Class
Medical Doctor
Status
Active
Address
Orthoarizona-mezona Division, 2940 E Banner Gateway Drive, Suite 200, Gilbert AZ 85234-2171
arizonalicensing.com
ID 22516968
LAST UPDATED 2024-03-18 11:03:10 UTC
LAST UPDATED 2024-03-18 11:03:10 UTC