RITA A BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041143214

License Status

NOT RENEWED

Business

First Name

RITA A

Last Name

BLACK

Business Name

RITA A BLACK

Original Issue Date

03/27/1972

Effective Date

05/31/2016

Expiration Date

05/31/2018

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

07/19/2018