License holder summary

Thomas Philip Lake is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Thomas Philip Lake is Department Of Radiology, Memorial Medical Center, Springfield, IL 62781. This doctor license is not current. The license was granted 05/10/1968 and expired on 04/30/2000.

Department of Safety and Professional Services

Board of Medical Practice

Thomas Philip Lake
Medical - Physician And Surgeon
License number
18081
Date granted
05/10/1968
Date expires
04/30/2000
Class
Medical - Physician And Surgeon
Status
Canceled
Address
Department Of Radiology, Memorial Medical Center, Springfield, IL 62781
doctorsminnesota.org
ID 22241264
LAST UPDATED 2024-03-08 22:17:43 UTC

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