JERI A LAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041265502

License Status

INACTIVE

Business

First Name

JERI A

Last Name

LAKE

Business Name

JERI A LAKE

Original Issue Date

10/02/1991

Effective Date

10/02/1991

Expiration Date

05/31/2006

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006