MARTHA W BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041042467

License Status

INACTIVE

Business

First Name

MARTHA W

Last Name

BLACK

Business Name

MARTHA W BLACK

Original Issue Date

04/02/1980

Effective Date

04/02/1980

City

SOUTH ELGIN

State

Zip

60177

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006