Department of Financial and Professional Regulation
Board of Nursing
LISA M LAKE
Registered Professional Nurse
License number
041298090
Date granted
07/25/1996
Date expires
05/31/2016
Class
Registered Professional Nurse
Status
Active
Address
PALMYRA, MO 63461
illinoisnursing.org
ID 34701342
LAST UPDATED 2026-06-08 17:07:44 UTC
LAST UPDATED 2026-06-08 17:07:44 UTC
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