Ellen Nicole Underwood

Apn Prescriptive Authority

Indiana  71001268A   Active

This Indiana license is held by Ellen Nicole Underwood. The license is currently active. It was granted on 11/30/2001 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 71001268A
  • Category: APN Prescriptive Authority
  • Status: Active
  • Date Granted: 11/30/2001 (over 22 years ago)
  • Expiry Date: 10/31/2015 (over 8 years ago)

LOCATIONS

A Address

Fort Wayne IN 46825