ALICIA L LAKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023930

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

LAKE

Business Name

ALICIA L LAKE

Original Issue Date

08/30/2021

Effective Date

08/30/2021

Expiration Date

08/31/2022

City

NEW LONDON

State

Zip

63459

Ever Disciplined

LastModifiedDate

10/14/2022