License holder summary

Fawale Modupe Fadare is a Apn Prescriptive Authority licensed to practice in Indiana. The address on file for Fawale Modupe Fadare is Marion IN 46953. This nurse license is not current. The license was granted 05/28/2004 and expired on 10/31/2011.

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 2024-04-16 16:39:35 UTC

This website is unaffiliated with the State Board of Nursing. Please verify all information directly with the relevant official government authority.

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