ADELINE C BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041081059

License Status

NOT RENEWED

Business

First Name

ADELINE C

Last Name

BLACK

Business Name

ADELINE C BLACK

Original Issue Date

05/11/1955

Effective Date

05/11/1955

Expiration Date

05/31/2000

City

DAVIS

State

Zip

61019

County

STEPHENSON

Ever Disciplined

LastModifiedDate

09/27/2006