TIAWIANA M BLACKWELL
Licensed Practical Nurse
Indiana 27038734A Suspended
This Indiana license was held by TIAWIANA M BLACKWELL. The license is no longer active. It was granted on 07/22/1994 and expired on 10/31/2004
LICENSE DETAILS
- License Number: 27038734A
- Category: Licensed Practical Nurse
- Status: Suspended
- Date Granted: 07/22/1994 (almost 32 years ago)
- Expiry Date: 10/31/2004 (over 21 years ago)
LOCATIONS
A Address
Gary IN 46406