LISA L BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041305144

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

BLACK

Business Name

LISA L BLACK

Original Issue Date

08/21/1997

Effective Date

04/20/2010

Expiration Date

05/31/2012

City

STATESBORO

State

Zip

30461

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/10/2012