JENNIFER K BLACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002373

License Status

ACTIVE

Business

First Name

JENNIFER K

Last Name

BLACK

Business Name

JENNIFER K BLACK

Original Issue Date

07/05/2001

Effective Date

05/12/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026