License holder summary

Mary Ethel Lake is a Temporary Rn Permit licensed to practice in Indiana. The address on file for Mary Ethel Lake is Lafayette IN 47909. This nurse license is not current. The license was granted 01/28/2002 and expired on 04/28/2002.

Indiana

State Board of Nursing

Mary Ethel Lake
Temporary Rn Permit
License number
99004972A
Date granted
01/28/2002
Date expires
04/28/2002
Class
Temporary Rn Permit
Status
Superceded
Address
Lafayette IN 47909
nursingindiana.org
ID 8269078
LAST UPDATED 2024-02-28 13:03:52 UTC

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