MARY ANN R BLACK - Registered Nurse License in Illinois | # 043042615

MARY ANN R BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042615

License Status

NOT RENEWED

Business

N

First Name

MARY ANN R

Last Name

BLACK

Business Name

MARY ANN R BLACK

Original Issue Date

02/14/1978

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005