MARY JANE BLACK - Registered Nurse License in Illinois | # 041052052

MARY JANE BLACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041052052

License Status

INACTIVE

Business

N

First Name

MARY JANE

Last Name

BLACK

Business Name

MARY JANE BLACK

Original Issue Date

01/01/1997

Expiration Date

05/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006