License holder summary

Jon Peter Lake is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Jon Peter Lake is 527 San Vicente Blvd, Santa Monica, CA 90402. This doctor license is not current. The license was granted 08/08/1980 and expired on 12/31/1987.

Department of Safety and Professional Services

Board of Medical Practice

Jon Peter Lake
Medical - Physician And Surgeon
License number
25552
Date granted
08/08/1980
Date expires
12/31/1987
Class
Medical - Physician And Surgeon
Status
Canceled
Address
527 San Vicente Blvd, Santa Monica, CA 90402
doctorsminnesota.org
ID 22240223
LAST UPDATED 2026-06-07 21:58:24 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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