CANDACE S BLACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209013253

License Status

ACTIVE

Business

First Name

CANDACE

Middle

Last Name

BLACK

Business Name

CANDACE S BLACK

Original Issue Date

08/26/2015

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

LAWRENCEVILLE

State

Zip

30044

Ever Disciplined

LastModifiedDate

03/02/2026