License holder summary

Lake, Jason S is a Optometrist licensed to practice in Missouri. The address on file for Lake, Jason S is 601 East Russell , Warrensburg 64093. This licensed professional license is current. The license was granted 07/09/1998 and expired on 10/31/2014.

Missouri

Division of Professional Registration

Lake, Jason S
Optometrist
License number
T03409  
Date granted
07/09/1998
Date expires
10/31/2014
Class
Optometrist
Status
Clear
Address
601 East Russell 
licensingmissouri.org
ID 1192339
LAST UPDATED 2024-03-05 17:48:11 UTC

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