Indiana
State Board of Nursing
Marilyn E. Gillham
Temporary Lpn Permit
License number
99052042A
Date granted
05/31/2012
Date expires
08/31/2012
Class
Temporary Lpn Permit
Status
Superceded
Address
Fort Wayne IN 46825
nursingindiana.org
ID 8258771
LAST UPDATED 2024-04-15 03:13:23 UTC
LAST UPDATED 2024-04-15 03:13:23 UTC
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