The holder whose full name is Lake, Connie Elaine,come from Wolcottville IN,hold the Registered Nurse license(NO.28042308A) which status is Expired.
| Name | Lake, Connie Elaine |
|---|---|
| License Number | 28042308A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Wolcottville |
| State | IN |