Indiana
State Board of Nursing
Kam David Fortner
Licensed Practical Nurse
License number
27054663A
Date granted
10/13/2004
Date expires
10/31/2016
Class
Licensed Practical Nurse
Status
Active
Address
Ellettsville IN 47429
nursingindiana.org
ID 6474567
LAST UPDATED 2024-03-21 02:36:23 UTC
LAST UPDATED 2024-03-21 02:36:23 UTC
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