ELIZABETH H BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041103286

License Status

NOT RENEWED

Business

First Name

ELIZABETH H

Last Name

BLACK

Business Name

ELIZABETH H BLACK

Original Issue Date

06/27/1962

Effective Date

06/27/1962

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006