JEREMY L LAKE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043122283

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

Last Name

LAKE

Business Name

JEREMY L LAKE

Original Issue Date

03/17/2016

Effective Date

12/31/2022

Expiration Date

02/28/2025

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

05/08/2025