License holder summary

PHYLLIS MARIE SUPER is a Registered Nurse licensed to practice in Indiana. The address on file for PHYLLIS MARIE SUPER is BLOOMINGTON IN 47402. This nurse license is not current. The license was granted 11/01/1983 and expired on 10/31/1989.

Indiana

State Board of Nursing

PHYLLIS MARIE SUPER
Registered Nurse
License number
28088165A
Date granted
11/01/1983
Date expires
10/31/1989
Class
Registered Nurse
Status
Expired
Address
BLOOMINGTON IN 47402
nursingindiana.org
ID 7880087
LAST UPDATED 2024-04-30 07:23:44 UTC

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