TERRI E LAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065598

License Status

NOT RENEWED

Business

First Name

TERRI E

Last Name

LAKE

Business Name

TERRI E LAKE

Original Issue Date

01/09/1988

Expiration Date

01/31/1989

City

BRIGHTON

State

Zip

62012

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005