Indiana
State Board of Nursing
JUANITA E LAKE
Licensed Practical Nurse
License number
27011450A
Date granted
01/01/1972
Date expires
10/31/1996
Class
Licensed Practical Nurse
Status
Expired
Address
FORT WAYNE IN 46805
nursingindiana.org
ID 6480768
LAST UPDATED 2024-02-01 07:32:46 UTC
LAST UPDATED 2024-02-01 07:32:46 UTC
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