JAY D LAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041290405

License Status

INACTIVE

Business

First Name

JAY D

Last Name

LAKE

Business Name

JAY D LAKE

Original Issue Date

08/15/1995

Effective Date

08/15/1995

Expiration Date

05/31/1998

City

FARGO

State

Zip

58104

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

09/27/2006