License holder summary

ANOLA BLENN NICODEMUS is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for ANOLA BLENN NICODEMUS is Fort Wayne IN 46818. This nurse license is not current. The license was granted 04/14/1965 and expired on 10/31/2004.

Indiana

State Board of Nursing

ANOLA BLENN NICODEMUS
Licensed Practical Nurse
License number
27005162A
Date granted
04/14/1965
Date expires
10/31/2004
Class
Licensed Practical Nurse
Status
Expired
Address
Fort Wayne IN 46818
nursingindiana.org
ID 6480147
LAST UPDATED 2024-03-27 17:40:58 UTC

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