Indiana
State Board of Nursing
Dominique Tatum
Certified Nurse Aide
License number
CNA1003253
Date granted
04/27/2010
Date expires
04/27/2012
Class
Certified Nurse Aide
Status
Expired
Address
Avilla, IN 46710
nursingindiana.org
ID 6148534
LAST UPDATED 2024-02-29 09:59:53 UTC
LAST UPDATED 2024-02-29 09:59:53 UTC
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