Indiana
State Board of Nursing
Shelly Ann Northam
Licensed Practical Nurse
License number
27036031A
Date granted
12/07/1992
Date expires
10/31/2016
Class
Licensed Practical Nurse
Status
Active
Address
Macy IN 46951
nursingindiana.org
ID 12156273
LAST UPDATED 2026-05-04 08:59:50 UTC
LAST UPDATED 2026-05-04 08:59:50 UTC
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