MARY LOUISE BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041128520

License Status

INACTIVE

Business

First Name

MARY LOUISE

Last Name

BLACK

Business Name

MARY LOUISE BLACK

Original Issue Date

02/15/1967

Effective Date

02/15/1967

Expiration Date

05/01/1982

City

DES MOINES

State

Zip

50322

County

IOWA

Ever Disciplined

LastModifiedDate

09/27/2006