Indiana
State Board of Nursing
Marichelle Mamitag Kopp
Temporary Rn Permit
License number
99047843A
Date granted
07/07/2011
Date expires
10/07/2011
Class
Temporary Rn Permit
Status
Expired
Address
Dyer IN 46311
nursingindiana.org
ID 8264723
LAST UPDATED 2026-05-02 02:19:06 UTC
LAST UPDATED 2026-05-02 02:19:06 UTC
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