MICHAEL J LANE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023083

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

LANE

Business Name

MICHAEL J LANE

Original Issue Date

03/29/2021

Effective Date

05/07/2022

Expiration Date

06/30/2024

City

CEDAR LAKE

State

Zip

46303

Ever Disciplined

LastModifiedDate

10/03/2025