Indiana
State Board of Nursing
Fawale Modupe Fadare
Apn Prescriptive Authority
License number
70000156A
Date granted
05/28/2004
Date expires
10/31/2011
Class
Apn Prescriptive Authority
Status
Expired
Address
Marion IN 46953
nursingindiana.org
ID 6418305
LAST UPDATED 2026-04-27 16:10:37 UTC
LAST UPDATED 2026-04-27 16:10:37 UTC
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