Indiana
State Board of Nursing
Randy W. Jacobson
Certified Nurse Aide
License number
CNA0205878
Date granted
11/07/2002
Date expires
11/07/2014
Class
Certified Nurse Aide
Status
Expired
Address
Lake Station IN 46405
nursingindiana.org
ID 6237014
LAST UPDATED 2024-05-11 02:47:07 UTC
LAST UPDATED 2024-05-11 02:47:07 UTC
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