Indiana
State Board of Nursing
Jacob P Revere
Certified Nurse Aide
License number
CNA1001106
Date granted
01/13/2010
Date expires
02/25/2014
Class
Certified Nurse Aide
Status
Expired
Address
Warsaw, IN 46582
nursingindiana.org
ID 6315925
LAST UPDATED 2026-05-31 18:09:37 UTC
LAST UPDATED 2026-05-31 18:09:37 UTC
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