License holder summary

Lake, Douglas Richard is a Medical Physician & Surgeon licensed to practice in Missouri. This licensed professional license is current. The license was granted 06/23/2011 and expired on 01/31/2014.

Missouri

Division of Professional Registration

Lake, Douglas Richard
Medical Physician & Surgeon
License number
2011019232  
Date granted
06/23/2011
Date expires
01/31/2014
Class
Medical Physician & Surgeon
Status
Clear
licensingmissouri.org
ID 2139252
LAST UPDATED 2026-07-11 14:23:52 UTC

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