Wisconsin
Department of Safety and Professional Services
Lake, Edward W
Medicine And Surgery
License number
29465-20
Date granted
07/01/1988
Date expires
10/31/2015
Class
Medicine And Surgery
Status
Active
wisconsinmedicine.org
ID 12776358
LAST UPDATED 2024-02-22 07:22:21 UTC
LAST UPDATED 2024-02-22 07:22:21 UTC
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