LUCILLE K BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041121499

License Status

NOT RENEWED

Business

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

City

ST FRANCISVILLE

State

Zip

62460

County

LAWRENCE

Ever Disciplined

LastModifiedDate

09/27/2006