License holder summary

Lake, Mark S. is a Dentist licensed to practice in Missouri. The address on file for Lake, Mark S. is 1037 Palisades Blvd Suite 9 , Osage Beach 65065. This licensed professional license is current. The license was granted 05/26/2006 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Lake, Mark S.
Dentist
License number
2006014707  
Date granted
05/26/2006
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
1037 Palisades Blvd Suite 9 
licensingmissouri.org
ID 2020654
LAST UPDATED 2024-02-11 20:39:32 UTC

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