SUSAN LEE LAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041163105

License Status

INACTIVE

Business

First Name

SUSAN LEE

Last Name

LAKE

Business Name

SUSAN LEE LAKE

Original Issue Date

10/24/1975

Effective Date

10/24/1975

City

WEST CHICAGO

State

Zip

60185

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006