LORETTA L BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041101495

License Status

INACTIVE

Business

First Name

LORETTA L

Last Name

BLACK

Business Name

LORETTA L BLACK

Original Issue Date

01/01/1997

Expiration Date

05/31/2004

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006