Indiana
State Board of Nursing
Susan Gail Vander Baan
Temporary Rn Permit
License number
99015019A
Date granted
11/30/2004
Date expires
02/28/2005
Class
Temporary Rn Permit
Status
Superceded
Address
Fort Wayne IN 46815
nursingindiana.org
ID 8266075
LAST UPDATED 2024-03-22 04:45:44 UTC
LAST UPDATED 2024-03-22 04:45:44 UTC
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