SHIRLEY R BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041059017

License Status

INACTIVE

Business

First Name

SHIRLEY R

Last Name

BLACK

Business Name

SHIRLEY R BLACK

Original Issue Date

01/15/1948

Effective Date

01/15/1948

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006