LAURA M BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041350190

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

BLACK

Business Name

LAURA M BLACK

Original Issue Date

11/22/2005

Effective Date

09/07/2021

Expiration Date

12/31/2021

City

SOLDOTNA

State

Zip

99669

County

ALASKA

Ever Disciplined

LastModifiedDate

10/14/2022