PENNY SUE BLACK - Registered Nurse License in Illinois | # 041425266

PENNY SUE BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041425266

License Status

NOT RENEWED

Business

N

First Name

PENNY

Middle

SUE

Last Name

BLACK

Business Name

PENNY SUE BLACK

Original Issue Date

10/07/2014

Effective Date

05/18/2018

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/14/2021