TISHA T BLACK - Registered Nurse License in Illinois | # 043083154

TISHA T BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083154

License Status

NOT RENEWED

Business

N

First Name

TISHA

Middle

T

Last Name

BLACK

Business Name

TISHA T BLACK

Original Issue Date

12/01/1998

Effective Date

03/04/2003

Expiration Date

01/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005