Indiana
State Board of Nursing
Phillip Edmund Moon Pendleton
Apn Prescriptive Authority
License number
71000962A
Date granted
11/30/2000
Date expires
10/31/2007
Class
Apn Prescriptive Authority
Status
Expired
Address
SOUTH BEND IN 46617
nursingindiana.org
ID 6422815
LAST UPDATED 2024-04-04 21:07:16 UTC
LAST UPDATED 2024-04-04 21:07:16 UTC
This website is unaffiliated with the State Board of Nursing. Please verify all information directly with the relevant official government authority.