License holder summary

Dr. Jack Russell Lake Jr. is a Medical Board - 34.Doctor Of Osteopathic Medicine licensed to practice in Ohio. The address on file for Dr. Jack Russell Lake Jr. is Edmond, OK 73003. This licensed professional license is not current. The license was granted 05/14/2008 and expired on 07/01/2010.

Ohio

Board of Licensing

Dr. Jack Russell Lake Jr.
Medical Board - 34.Doctor Of Osteopathic Medicine
License number
34.009305
Date granted
05/14/2008
Date expires
07/01/2010
Class
Medical Board - 34.Doctor Of Osteopathic Medicine
Status
Inactive
Address
Edmond, OK 73003
ohiolicensing.org
ID 28956319
LAST UPDATED 2024-04-15 19:06:32 UTC

This website is unaffiliated with Ohio and its licensing agencies. Please verify all information directly with the relevant official government authority.

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