LAURA JANE BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041189859

License Status

INACTIVE

Business

First Name

LAURA JANE

Last Name

BLACK

Business Name

LAURA JANE BLACK

Original Issue Date

10/17/1979

Effective Date

05/15/2014

Expiration Date

05/31/2016

City

SHERRARD

State

Zip

61281

County

MERCER

Ever Disciplined

LastModifiedDate

03/16/2016