Indiana
State Board of Nursing
SUSAN DIANE BLACK
Licensed Practical Nurse
License number
27015341A
Date granted
01/01/1976
Date expires
12/31/1980
Class
Licensed Practical Nurse
Status
Expired
Address
PLAINFIELD IN 46168
nursingindiana.org
ID 12177092
LAST UPDATED 2024-02-21 18:53:17 UTC
LAST UPDATED 2024-02-21 18:53:17 UTC
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