Indiana
State Board of Nursing
Tiffany Angelic Broussard
Licensed Practical Nurse
License number
27067594A
Date granted
10/31/2011
Date expires
10/31/2016
Class
Licensed Practical Nurse
Status
Active
Address
Merrillville IN 46410
nursingindiana.org
ID 6471040
LAST UPDATED 2026-04-25 19:39:42 UTC
LAST UPDATED 2026-04-25 19:39:42 UTC
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