PRAPA BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041383659

License Status

NOT RENEWED

Business

First Name

PRAPA

Last Name

BLACK

Business Name

PRAPA BLACK

Original Issue Date

05/03/2010

Effective Date

05/27/2020

Expiration Date

08/31/2022

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

10/14/2022