License holder summary

Mimzy Vanessa Tagalog is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for Mimzy Vanessa Tagalog is Granger IN 46530. This nurse license is current. The license was granted 08/05/2011 and expired on 10/31/2016.

Indiana

State Board of Nursing

Mimzy Vanessa Tagalog
Licensed Practical Nurse
License number
27067174A
Date granted
08/05/2011
Date expires
10/31/2016
Class
Licensed Practical Nurse
Status
Active
Address
Granger IN 46530
nursingindiana.org
ID 6489428
LAST UPDATED 2024-02-09 11:12:02 UTC

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