Indiana
State Board of Nursing
Stacey Renee Boomhower
Licensed Practical Nurse
License number
27057630A
Date granted
07/11/2006
Date expires
10/31/2016
Class
Licensed Practical Nurse
Status
Active
Address
Rochester IN 46975
nursingindiana.org
ID 12184960
LAST UPDATED 2026-06-12 02:52:11 UTC
LAST UPDATED 2026-06-12 02:52:11 UTC
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