Indiana
State Board of Nursing
LAURA JEANETTE FORMULAK
Registered Nurse
License number
28096664A
Date granted
09/05/1986
Date expires
10/31/2015
Class
Registered Nurse
Status
Active
Address
Anderson IN 46011
nursingindiana.org
ID 7863200
LAST UPDATED 2026-06-16 01:50:15 UTC
LAST UPDATED 2026-06-16 01:50:15 UTC
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