Indiana
State Board of Nursing
Jill Marie Maddox
Nursing Board - Csr Prescriptive Authority
License number
71002976B
Date granted
07/14/2009
Date expires
10/31/2015
Class
Nursing Board - Csr Prescriptive Authority
Status
Active
Address
South Bend Clinic Ironwood Dermatology, 2102 East Ironwood Road, South Bend IN 46614
nursingindiana.org
ID 6441346
LAST UPDATED 2026-05-29 17:02:31 UTC
LAST UPDATED 2026-05-29 17:02:31 UTC
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