BRIAN D BLACK - Registered Nurse License in Indiana | # 043073136

BRIAN D BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073136

License Status

NOT RENEWED

Business

N

First Name

BRIAN D

Last Name

BLACK

Business Name

BRIAN D BLACK

Original Issue Date

01/20/1993

Expiration Date

01/31/1995

State

IN

Ever Disciplined

N

LastModifiedDate

10/21/2005