License holder summary

CORISSA DAWN LAKE is a Nursing Home Administrator - Nursing Home Administrator licensed to practice in Michigan. The address on file for CORISSA DAWN LAKE is Sylvania, OH 43560. This licensed professional license is current. The license was granted 02/17/1999 and expired on 10/31/2015.

Michigan

Department of Licensing and Regulation

CORISSA DAWN LAKE
Nursing Home Administrator - Nursing Home Administrator
License number
4801004280
Date granted
02/17/1999
Date expires
10/31/2015
Class
Nursing Home Administrator - Nursing Home Administrator
Status
Active
Address
Sylvania, OH 43560
michiganlicensing.org
ID 25865725
LAST UPDATED 2026-04-04 12:18:49 UTC

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