Indiana
State Board of Nursing
VICTOR DAVID BOUGHAMER, III
Licensed Practical Nurse
License number
27049406A
Date granted
05/01/2001
Date expires
10/31/2014
Class
Licensed Practical Nurse
Status
Expired
Address
Crown Point IN 46307
nursingindiana.org
ID 6467396
LAST UPDATED 2024-06-11 22:53:26 UTC
LAST UPDATED 2024-06-11 22:53:26 UTC
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