RICHARD O LAKE
Nursing at Ter Vw Dr, Rogersville, TN

License number
Florida 5154264
Issued Date
Jul 25, 2002
Effective Date
Aug 19, 2011
Expiration Date
Jul 31, 2009
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
136 Terrace View Dr, Rogersville, TN 37857
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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