FONDA L BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035449

License Status

NOT RENEWED

Business

First Name

FONDA L

Last Name

BLACK

Business Name

FONDA L BLACK

Original Issue Date

09/11/1974

Expiration Date

01/31/1999

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

10/15/2005