LUCILLE K BLACK - Registered Nurse License in Illinois | # 041121499

LUCILLE K BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121499

License Status

NOT RENEWED

Business

N

First Name

LUCILLE K

Last Name

BLACK

Business Name

LUCILLE K BLACK

Original Issue Date

06/22/1967

Effective Date

06/22/1967

Expiration Date

05/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006