CAROL F LAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041097223

License Status

INACTIVE

Business

First Name

CAROL F

Last Name

LAKE

Business Name

CAROL F LAKE

Original Issue Date

09/22/1960

Effective Date

09/22/1960

City

PHOENIX

State

Zip

85018

County

ARKANSAS

Ever Disciplined

LastModifiedDate

09/27/2006