VIRGINIA M LAKE
Nurse Registered & Licensed Practical - Rn
Michigan 4704065034 Lapsed
This Michigan license was held by VIRGINIA M LAKE. The license is no longer active. It was granted on 02/06/1962 and expired on 03/31/2005
LICENSE DETAILS
- License Number: 4704065034
- Category: RN
- Status: Lapsed
- Date Granted: 02/06/1962 (over 64 years ago)
- Expiry Date: 03/31/2005 (over 21 years ago)
LOCATIONS
A Address
Claremore, OK 740173839