Utah
Division of Occupational and Professional Licensing
JARED ROBERT LAKE
Physician - Physician & Surgeon
License number
7890667-1205
Date granted
04/12/2011
Date expires
01/31/2016
Class
Physician - Physician & Surgeon
Status
Active
Address
NORTH SALT LAKE, UT 840542661
utahlicensing.org
ID 29925767
LAST UPDATED 2024-04-04 12:35:33 UTC
LAST UPDATED 2024-04-04 12:35:33 UTC
This website is unaffiliated with the Division of Occupational and Professional Licensing. Please verify all information directly with the relevant official government authority.