License holder summary

JUANITA E LAKE is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for JUANITA E LAKE is FORT WAYNE IN 46805. This nurse license is not current. The license was granted 01/01/1972 and expired on 10/31/1996.

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 2026-04-22 10:30:01 UTC

This website is unaffiliated with the State Board of Nursing. Please verify all information directly with the relevant official government authority.

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