New Jersey
Division of Consumer Affairs
Thomas R Lake, III
Medical Doctor
License number
25MA07084700
Date granted
06/19/2000
Date expires
06/30/2015
Class
Medical Doctor
Status
Active
licensingnj.com
ID 8726523
LAST UPDATED 2024-03-25 19:12:24 UTC
LAST UPDATED 2024-03-25 19:12:24 UTC
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