Indiana
State Board of Nursing
MICHAEL J SIVAK III
Licensed Practical Nurse
License number
27045021A
Date granted
03/03/1998
Date expires
10/31/2010
Class
Licensed Practical Nurse
Status
Expired
Address
mishawaka IN 46545
nursingindiana.org
ID 12163056
LAST UPDATED 2026-06-19 21:50:21 UTC
LAST UPDATED 2026-06-19 21:50:21 UTC
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