Indiana
State Board of Nursing
MYRTLE MARIE BLAKE
Licensed Practical Nurse
License number
27004565A
Date granted
01/01/1964
Date expires
12/31/1982
Class
Licensed Practical Nurse
Status
Expired
Address
HIGHLAND IN 46322
nursingindiana.org
ID 6498580
LAST UPDATED 2024-06-16 18:41:40 UTC
LAST UPDATED 2024-06-16 18:41:40 UTC
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