The holder whose full name is Lake, Carol Lee,come from Hummelstown PA,hold the Physician license(NO.01046529A) which status is Expired Non-Renewable.
| Name | Lake, Carol Lee |
|---|---|
| License Number | 01046529A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Hummelstown |
| State | PA |