TEMPLE H BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041042687

License Status

INACTIVE

Business

First Name

TEMPLE H

Last Name

BLACK

Business Name

TEMPLE H BLACK

Original Issue Date

01/08/1942

Effective Date

01/08/1942

Expiration Date

05/31/1992

City

HARVEL

State

Zip

62538

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

09/27/2006