SHIRLEY R BLACK - Registered Nurse License in Illinois | # 041059017

SHIRLEY R BLACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041059017

License Status

INACTIVE

Business

N

First Name

SHIRLEY R

Last Name

BLACK

Business Name

SHIRLEY R BLACK

Original Issue Date

01/15/1948

Effective Date

01/15/1948

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006