License holder summary

JARED ROBERT LAKE is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for JARED ROBERT LAKE is NORTH SALT LAKE, UT 840542661. This licensed professional license is current. The license was granted 04/12/2011 and expired on 01/31/2016.

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

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