ROSE M LAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017999

License Status

INACTIVE

Business

First Name

ROSE M

Last Name

LAKE

Business Name

ROSE M LAKE

Original Issue Date

01/24/1967

Expiration Date

01/31/1997

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

10/21/2005