Indiana
State Board of Nursing
Theresa L. Malcom
Licensed Practical Nurse
License number
27063831A
Date granted
09/11/2009
Date expires
10/31/2012
Class
Licensed Practical Nurse
Status
Expired
Address
Elkhart IN 46517
nursingindiana.org
ID 6474325
LAST UPDATED 2026-05-12 06:46:45 UTC
LAST UPDATED 2026-05-12 06:46:45 UTC
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