Indiana
Professional Licensing Agency
A Provost Neuroscience PC
Nursing Board - Nursing Corporation
License number
55000046A
Date granted
06/15/2004
Date expires
01/31/2006
Class
Nursing Board - Nursing Corporation
Status
Expired
Address
11270 Yarmouth Place, Fishers IN 46038
indianalicensing.org
ID 24864094
LAST UPDATED 2024-04-04 14:14:01 UTC
LAST UPDATED 2024-04-04 14:14:01 UTC
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