MICHAEL D LAKE

Business Entity
NOT RENEWED

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041253065

NOT RENEWED

N

MICHAEL D

LAKE

MICHAEL D LAKE

07/11/1989

07/11/1989

05/31/1994

OKLAHOMA CITY

OK

73154

OKLAHOMA

Y

09/27/2006

1991004175

Suspension

05/28/1993

Disciplined in Oklahoma.