CANDACE S BLACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

ACTIVE

Business

First Name

CANDACE

Middle

Last Name

BLACK

Business Name

CANDACE S BLACK

Original Issue Date

12/28/2015

Effective Date

05/10/2024

Expiration Date

05/31/2026

City

LAWRENCEVILLE

State

Zip

30044

Ever Disciplined

LastModifiedDate

03/02/2026