Indiana
State Board of Nursing
Susan Mae Moylan
Nursing Board - Csr Prescriptive Authority
License number
71000446B
Date granted
03/13/1998
Date expires
10/31/2007
Class
Nursing Board - Csr Prescriptive Authority
Status
Expired
Address
Tippecanoe Community Health Clinic, 1716 Hartford Street, Lafayette IN 47904
nursingindiana.org
ID 6436758
LAST UPDATED 2026-03-23 00:26:57 UTC
LAST UPDATED 2026-03-23 00:26:57 UTC
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