STEPHANIE A LAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303924

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

LAKE

Business Name

STEPHANIE A LAKE

Original Issue Date

07/24/1997

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026