Indiana
State Board of Nursing
Tracy Lee Mack
Licensed Practical Nurse
License number
27043037A
Date granted
10/22/1996
Date expires
10/31/2010
Class
Licensed Practical Nurse
Status
Suspended
Address
Hebron IN 46341
nursingindiana.org
ID 6498006
LAST UPDATED 2024-04-13 14:47:16 UTC
LAST UPDATED 2024-04-13 14:47:16 UTC
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