MARGUERITE RUTH LAKE

Business Entity
NOT RENEWED

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041202994

NOT RENEWED

N

MARGUERITE RUTH

LAKE

MARGUERITE RUTH LAKE

05/19/1981

05/19/1981

05/01/1982

BLOOMINGTON

IL

61701

MCLEAN

N

09/27/2006