Indiana
State Board of Nursing
PHYLLIS ANN MARTIN
Licensed Practical Nurse
License number
27015502A
Date granted
01/01/1976
Date expires
10/31/1988
Class
Licensed Practical Nurse
Status
Expired
Address
FORT WAYNE IN 46805
nursingindiana.org
ID 6481399
LAST UPDATED 2026-03-24 13:09:52 UTC
LAST UPDATED 2026-03-24 13:09:52 UTC
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