BEVERLY A BLACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031260

License Status

ACTIVE

Business

First Name

BEVERLY

Middle

Last Name

BLACK

Business Name

BEVERLY A BLACK

Original Issue Date

12/17/2024

Effective Date

12/17/2024

Expiration Date

05/31/2026

City

HAWTHORN WOODS

State

Zip

60047

Ever Disciplined

LastModifiedDate

03/02/2026