IRMA E BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041099505

License Status

INACTIVE

Business

First Name

IRMA E

Last Name

BLACK

Business Name

IRMA E BLACK

Original Issue Date

04/03/1961

Effective Date

04/03/1961

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006