GENEVIEVE BLACK - Registered Nurse License in Illinois | # 043005081

GENEVIEVE BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043005081

License Status

NOT RENEWED

Business

N

First Name

GENEVIEVE

Last Name

BLACK

Business Name

GENEVIEVE BLACK

Original Issue Date

09/03/1953

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005