KATHY DIANE BLACK - Registered Nurse License in Illinois | # 043043730

KATHY DIANE BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043730

License Status

NOT RENEWED

Business

N

First Name

KATHY DIANE

Last Name

BLACK

Business Name

KATHY DIANE BLACK

Original Issue Date

02/14/1978

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005