Indiana
State Board of Nursing
LISA ANN BLACK
Temporary Rn Permit
License number
99006441A
Date granted
08/05/2002
Date expires
11/05/2002
Class
Temporary Rn Permit
Status
Superceded
Address
Fort Wayne IN 46845
nursingindiana.org
ID 8265948
LAST UPDATED 2024-04-10 02:49:38 UTC
LAST UPDATED 2024-04-10 02:49:38 UTC
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