License holder summary

Lily E. Brock is a Temporary Rn Permit licensed to practice in Indiana. The address on file for Lily E. Brock is Fort Wayne IN 46819. This nurse license is not current. The license was granted 09/26/2011 and expired on 12/26/2011.

Indiana

State Board of Nursing

Lily E. Brock
Temporary Rn Permit
License number
99048779A
Date granted
09/26/2011
Date expires
12/26/2011
Class
Temporary Rn Permit
Status
Superceded
Address
Fort Wayne IN 46819
nursingindiana.org
ID 8265941
LAST UPDATED 2024-04-26 16:11:11 UTC

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