License holder summary

HOLLEY JEAN LAKE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for HOLLEY JEAN LAKE is CHARLOTTESVILLE VA. This doctor license is not current. The license was granted 07/07/1995.

New York

Office of the Professions

HOLLEY JEAN LAKE
Medicine (Physician, Including M Ds & D Os)
License number
200051
Date granted
07/07/1995
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
CHARLOTTESVILLE VA
nymedicine.org
ID 30169921
LAST UPDATED 2024-03-06 22:56:01 UTC

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