Division of Occupational and Professional Licensing
Board of Nursing
LISA M LAKE
Nurse - Registered Nurse
License number
198487-3102
Date granted
09/24/1992
Date expires
01/31/2017
Class
Nurse - Registered Nurse
Status
Active
Address
WEST HAVEN, UT 84401
nursingutah.org
ID 29848246
LAST UPDATED 2026-05-21 14:05:49 UTC
LAST UPDATED 2026-05-21 14:05:49 UTC
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