Indiana
State Board of Nursing
Marylou Marie Haverstock
Licensed Practical Nurse
License number
27030650A
Date granted
06/02/1989
Date expires
10/31/2016
Class
Licensed Practical Nurse
Status
Active
Address
Mishawaka IN 46544
nursingindiana.org
ID 29048321
LAST UPDATED 2024-04-13 18:11:48 UTC
LAST UPDATED 2024-04-13 18:11:48 UTC
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