MARY F BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041084130

License Status

NOT RENEWED

Business

First Name

MARY F

Last Name

BLACK

Business Name

MARY F BLACK

Original Issue Date

05/07/1956

Effective Date

05/07/1956

Expiration Date

05/31/1990

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006