Indiana
State Board of Nursing
LAVADA FAYE WALLACE
Licensed Practical Nurse
License number
27039198A
Date granted
09/29/1994
Date expires
10/31/2002
Class
Licensed Practical Nurse
Status
Expired
Address
Sullivan IN 47882
nursingindiana.org
ID 7216953
LAST UPDATED 2026-06-06 14:42:58 UTC
LAST UPDATED 2026-06-06 14:42:58 UTC
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