TINA L BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086262

License Status

INACTIVE

Business

First Name

TINA

Middle

Last Name

BLACK

Business Name

TINA L BLACK

Original Issue Date

06/20/2001

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

PENSACOLA

State

Zip

32502

Ever Disciplined

LastModifiedDate

11/10/2008