Indiana
State Board of Nursing
Jerry Basow
Registered Nurse
License number
28201261A
Date granted
03/06/2012
Date expires
10/31/2015
Class
Registered Nurse
Status
Active
Address
Pekin IN 47165
nursingindiana.org
ID 8231842
LAST UPDATED 2024-02-05 13:51:40 UTC
LAST UPDATED 2024-02-05 13:51:40 UTC
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