NICHOLE R LAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103740

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

Last Name

LAKE

Business Name

NICHOLE R LAKE

Original Issue Date

07/19/2007

Effective Date

01/18/2011

Expiration Date

01/31/2013

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/20/2013