MARTHA W BLACK - Registered Nurse License in Illinois | # 041042467

MARTHA W BLACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041042467

License Status

INACTIVE

Business

N

First Name

MARTHA W

Last Name

BLACK

Business Name

MARTHA W BLACK

Original Issue Date

04/02/1980

Effective Date

04/02/1980

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006