License holder summary

Rae Ellen Alba Costanilla is a Temporary Rn Permit licensed to practice in Indiana. The address on file for Rae Ellen Alba Costanilla is Fort Wayne IN 46825. This nurse license is not current. The license was granted 03/30/2005 and expired on 06/30/2005.

Indiana

State Board of Nursing

Rae Ellen Alba Costanilla
Temporary Rn Permit
License number
99016209A
Date granted
03/30/2005
Date expires
06/30/2005
Class
Temporary Rn Permit
Status
Superceded
Address
Fort Wayne IN 46825
nursingindiana.org
ID 8266027
LAST UPDATED 2024-03-26 16:34:43 UTC

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