License holder summary

ROBERT ROLAND LAKE is a Substance Use Disorder - Licensed Sudc licensed to practice in Utah. The address on file for ROBERT ROLAND LAKE is MURRAY, UT 84107. This licensed professional license is not current. The license was granted 11/05/2002 and expired on 09/24/2004.

Utah

Division of Occupational and Professional Licensing

ROBERT ROLAND LAKE
Substance Use Disorder - Licensed Sudc
License number
5219969-6006
Date granted
11/05/2002
Date expires
09/24/2004
Class
Substance Use Disorder - Licensed Sudc
Status
Deceased
Address
MURRAY, UT 84107
utahlicensing.org
ID 30059792
LAST UPDATED 2024-05-04 17:54:28 UTC

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