Michigan
Department of Licensing and Regulation
MARY LOU LAKE
Nurse Registered & Licensed Practical - Lpn
License number
4703036600
Date granted
12/09/1974
Date expires
03/31/1990
Class
Nurse Registered & Licensed Practical - Lpn
Status
Lapsed
Address
Traverse City, MI 49684
michiganlicensing.org
ID 25815333
LAST UPDATED 2024-02-16 02:10:25 UTC
LAST UPDATED 2024-02-16 02:10:25 UTC
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