NANCY A LAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041211550

License Status

ACTIVE

Business

First Name

NANCY A

Last Name

LAKE

Business Name

NANCY A LAKE

Original Issue Date

11/04/1982

Effective Date

05/15/2024

Expiration Date

05/31/2026

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/28/2026