MARY JANE BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041052052

License Status

INACTIVE

Business

First Name

MARY JANE

Last Name

BLACK

Business Name

MARY JANE BLACK

Original Issue Date

01/01/1997

Expiration Date

05/31/1990

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/27/2006