FREDA ANN BLACK - Registered Nurse License in Indiana | # 041335636

FREDA ANN BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041335636

License Status

NOT RENEWED

Business

N

First Name

FREDA

Middle

ANN

Last Name

BLACK

Business Name

FREDA ANN BLACK

Original Issue Date

07/15/2003

Effective Date

04/21/2014

Expiration Date

05/31/2016

State

IN

Ever Disciplined

N

LastModifiedDate

07/11/2016