Indiana
State Board of Nursing
PHYLLIS ANNETTE ROSKAM
Licensed Practical Nurse
License number
27024066A
Date granted
12/01/1983
Date expires
10/31/1990
Class
Licensed Practical Nurse
Status
Expired
Address
CARMEL IN 46032
nursingindiana.org
ID 6457486
LAST UPDATED 2024-05-07 14:55:14 UTC
LAST UPDATED 2024-05-07 14:55:14 UTC
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