CYNTHIA D BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041163842

License Status

NOT RENEWED

Business

First Name

CYNTHIA D

Last Name

BLACK

Business Name

CYNTHIA D BLACK

Original Issue Date

10/24/1975

Effective Date

10/24/1975

Expiration Date

05/31/1996

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006