Indiana
State Board of Nursing
MILDRED LAVILLA LAKE
Licensed Practical Nurse
License number
27001388A
Date granted
01/01/1952
Date expires
12/31/1978
Class
Licensed Practical Nurse
Status
Expired
Address
Elkhart IN 46514
nursingindiana.org
ID 6473916
LAST UPDATED 2026-03-21 08:19:42 UTC
LAST UPDATED 2026-03-21 08:19:42 UTC
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