CHERRY O LAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043034899

License Status

INACTIVE

Business

First Name

CHERRY

Middle

Last Name

LAKE

Business Name

CHERRY O LAKE

Original Issue Date

04/24/1974

Effective Date

11/04/2002

Expiration Date

01/31/2003

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/15/2005

Case Number

1993004099

Action

Probation

Discipline Start Date

08/03/1994

Discipline End Date

08/02/1995

Discipline Reason

Substance abuse problem.