MILDRED LAVILLA LAKE
Licensed Practical Nurse
Indiana 27001388A Expired
This Indiana license was held by MILDRED LAVILLA LAKE. The license is no longer active. It was granted on 01/01/1952 and expired on 12/31/1978
LICENSE DETAILS
- License Number: 27001388A
- Category: Licensed Practical Nurse
- Status: Expired
- Date Granted: 01/01/1952 (over 72 years ago)
- Expiry Date: 12/31/1978 (over 45 years ago)
LOCATIONS
A Address
Elkhart IN 46514