Indiana
State Board of Nursing
Rae Ellen Alba Costanilla
Temporary Rn Permit
License number
99016209A
Date granted
03/30/2005
Date expires
06/30/2005
Class
Temporary Rn Permit
Status
Superceded
Address
Fort Wayne IN 46825
nursingindiana.org
ID 8266027
LAST UPDATED 2026-03-25 19:53:54 UTC
LAST UPDATED 2026-03-25 19:53:54 UTC
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