Indiana
State Board of Nursing
LOUISE DIANE REVARD
Temporary Rn Permit
License number
99008168A
Date granted
04/22/2003
Date expires
07/22/2003
Class
Temporary Rn Permit
Status
Superceded
Address
Goshen IN 46526
nursingindiana.org
ID 8266602
LAST UPDATED 2026-04-29 00:01:07 UTC
LAST UPDATED 2026-04-29 00:01:07 UTC
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