MARY E BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041063807

License Status

INACTIVE

Business

First Name

MARY E

Last Name

BLACK

Business Name

MARY E BLACK

Original Issue Date

02/21/1949

Effective Date

02/21/1949

Expiration Date

05/31/1984

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006