Indiana
State Board of Nursing
Jacob A. Stout
Certified Nurse Aide
License number
CNA1104920
Date granted
06/22/2011
Date expires
06/22/2013
Class
Certified Nurse Aide
Status
Expired
Address
La Fontaine, IN 46940
nursingindiana.org
ID 6233389
LAST UPDATED 2026-05-12 07:43:54 UTC
LAST UPDATED 2026-05-12 07:43:54 UTC
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