FONDA L BLACK - Registered Nurse License in Iowa | # 043035449

FONDA L BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035449

License Status

NOT RENEWED

Business

N

First Name

FONDA L

Last Name

BLACK

Business Name

FONDA L BLACK

Original Issue Date

09/11/1974

Expiration Date

01/31/1999

State

IA

Ever Disciplined

N

LastModifiedDate

10/15/2005