Indiana
State Board of Nursing
Henrietta Revera
Licensed Practical Nurse
License number
27000612A
Date granted
05/01/1978
Date expires
12/31/1979
Class
Licensed Practical Nurse
Status
Expired Non-Renewable
Address
Columbus OH 43201
nursingindiana.org
ID 6462762
LAST UPDATED 2024-02-10 14:31:17 UTC
LAST UPDATED 2024-02-10 14:31:17 UTC
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