Indiana
State Board of Nursing
Tina Renee Vaclavik
Registered Nurse
License number
28140007A
Date granted
03/02/1998
Date expires
10/31/2015
Class
Registered Nurse
Status
Active
Address
PORTAGE IN 46368
nursingindiana.org
ID 8234794
LAST UPDATED 2026-07-11 18:37:09 UTC
LAST UPDATED 2026-07-11 18:37:09 UTC
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