Indiana
State Board of Nursing
WALLACE J HICKERSON
Temporary Rn Permit
License number
99006789A
Date granted
09/20/2002
Date expires
12/20/2002
Class
Temporary Rn Permit
Status
Expired
Address
Milltown IN 47145
nursingindiana.org
ID 8270449
LAST UPDATED 2026-05-07 23:48:57 UTC
LAST UPDATED 2026-05-07 23:48:57 UTC
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