JAY D LAKE - Registered Nurse License in North Dakota | # 041290405

JAY D LAKE

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041290405

License Status

INACTIVE

Business

N

First Name

JAY D

Last Name

LAKE

Business Name

JAY D LAKE

Original Issue Date

08/15/1995

Effective Date

08/15/1995

Expiration Date

05/31/1998

State

ND

Ever Disciplined

N

LastModifiedDate

09/27/2006