JERI A LAKE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003221

License Status

INACTIVE

Business

First Name

JERI A

Last Name

LAKE

Business Name

JERI A LAKE

Original Issue Date

07/20/2001

Effective Date

07/20/2001

Expiration Date

05/31/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/09/2008