License holder summary

IVAN HERBERT LAKE is a Nursing Home Administrator - Nursing Home Administrator licensed to practice in Michigan. The address on file for IVAN HERBERT LAKE is Delton, MI 49046. This licensed professional license is not current. The license was granted 07/09/1992 and expired on 10/31/1997.

Michigan

Department of Licensing and Regulation

IVAN HERBERT LAKE
Nursing Home Administrator - Nursing Home Administrator
License number
4801003451
Date granted
07/09/1992
Date expires
10/31/1997
Class
Nursing Home Administrator - Nursing Home Administrator
Status
Lapsed
Address
Delton, MI 49046
michiganlicensing.org
ID 25865731
LAST UPDATED 2026-05-29 09:15:39 UTC

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