BRIAN M LAKE
Osteopathic Medicine at Eden Isle Blvd, Saint Petersburg, FL

License number
Florida 1162
Issued Date
Jun 21, 2004
Effective Date
Aug 3, 2016
Expiration Date
Jul 1, 2006
Category
Health Care
Type
Osteopathic Resident Registration
Address
Address
1523 Eden Isle Blvd NE UNIT 138, Saint Petersburg, FL 33704