Indiana
State Board of Nursing
Marsha Jane Lively
Licensed Practical Nurse
License number
27040875A
Date granted
09/15/1995
Date expires
10/31/2016
Class
Licensed Practical Nurse
Status
Active
Address
Mishawaka IN 46544
nursingindiana.org
ID 12163008
LAST UPDATED 2024-03-25 02:49:54 UTC
LAST UPDATED 2024-03-25 02:49:54 UTC
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