JENNIFER LEE BLACK - Advanced Practice Nurse License in Illinois | # 209016989

JENNIFER LEE BLACK

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016989

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

LEE

Last Name

BLACK

Business Name

JENNIFER LEE BLACK

Original Issue Date

12/12/2017

Effective Date

06/16/2022

Expiration Date

06/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025