DIANA BROOKE BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041512149

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

BROOKE

Last Name

BLACK

Business Name

DIANA BROOKE BLACK

Original Issue Date

07/16/2021

Effective Date

07/16/2021

Expiration Date

08/31/2022

City

LAKELAND

State

Zip

33809

Ever Disciplined

LastModifiedDate

10/14/2022