Indiana
State Board of Nursing
SHIRLEY JO FANSELOW
Licensed Practical Nurse
License number
27048625A
Date granted
10/17/2000
Date expires
10/31/2016
Class
Licensed Practical Nurse
Status
Active
Address
New Carlisle IN 46552
nursingindiana.org
ID 12168689
LAST UPDATED 2024-06-25 00:19:52 UTC
LAST UPDATED 2024-06-25 00:19:52 UTC
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