Indiana
State Board of Nursing
Kimberly Jo Stacey
Temporary Lpn Permit
License number
99013068A
Date granted
06/11/2004
Date expires
09/11/2004
Class
Temporary Lpn Permit
Status
Superceded
Address
New Haven IL 62867
nursingindiana.org
ID 8260494
LAST UPDATED 2024-03-29 07:26:58 UTC
LAST UPDATED 2024-03-29 07:26:58 UTC
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