BEVERLEE A BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013307

License Status

NOT RENEWED

Business

First Name

BEVERLEE A

Last Name

BLACK

Business Name

BEVERLEE A BLACK

Original Issue Date

04/14/1965

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

CHANDLER

State

Zip

85225

County

ARIZONA

Ever Disciplined

LastModifiedDate

03/17/2009