KATHLEEN R BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041115382

License Status

INACTIVE

Business

First Name

KATHLEEN R

Last Name

BLACK

Business Name

KATHLEEN R BLACK

Original Issue Date

12/01/1965

Effective Date

12/01/1965

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006