Indiana
State Board of Nursing
Mary C. Modjeski
Temporary Rn Permit
License number
99011142A
Date granted
12/29/2003
Date expires
06/29/2004
Class
Temporary Rn Permit
Status
Superceded
Address
Valparaiso IN 46385
nursingindiana.org
ID 8274163
LAST UPDATED 2026-05-27 22:21:10 UTC
LAST UPDATED 2026-05-27 22:21:10 UTC
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