MICHELLE J LAKE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025935

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

LAKE

Business Name

MICHELLE J LAKE

Original Issue Date

09/10/2022

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

GENESEO

State

Zip

61254

County

HENRY

Ever Disciplined

LastModifiedDate

03/18/2026