Utah
Division of Occupational and Professional Licensing
SUSAN LAKE
Nurse - Licensed Practical Nurse
License number
198699-3101
Date granted
12/11/1991
Date expires
12/31/1992
Class
Nurse - Licensed Practical Nurse
Status
Expired
Address
WEST JORDAN, UT 840888296
utahlicensing.org
ID 29812521
LAST UPDATED 2026-04-17 18:01:58 UTC
LAST UPDATED 2026-04-17 18:01:58 UTC
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