EVELENA BLACK HENDERSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041168684

License Status

NOT RENEWED

Business

First Name

EVELENA BLACK

Last Name

HENDERSON

Business Name

EVELENA BLACK HENDERSON

Original Issue Date

11/01/1976

Effective Date

05/29/2012

Expiration Date

05/31/2014

City

RIVERDALE

State

Zip

60827

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2014