GEORGIA P BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043030870

License Status

INACTIVE

Business

First Name

GEORGIA P

Last Name

BLACK

Business Name

GEORGIA P BLACK

Original Issue Date

08/01/1972

Expiration Date

01/31/1989

City

INGLEWOOD

State

Zip

90301

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/21/2005