Indiana
State Board of Nursing
Jacob Levi Theobald
Registered Nurse
License number
28203319A
Date granted
06/21/2012
Date expires
10/31/2015
Class
Registered Nurse
Status
Active
Address
Brookston IN 47923
nursingindiana.org
ID 7886265
LAST UPDATED 2024-05-15 07:02:57 UTC
LAST UPDATED 2024-05-15 07:02:57 UTC
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