PATRICIA ANN BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041087829

License Status

NOT RENEWED

Business

First Name

PATRICIA ANN

Last Name

BLACK

Business Name

PATRICIA ANN BLACK

Original Issue Date

11/12/1957

Effective Date

11/12/1957

Expiration Date

05/31/2006

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/09/2006