KATHY M BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041203259

License Status

NOT RENEWED

Business

First Name

KATHY M

Last Name

BLACK

Business Name

KATHY M BLACK

Original Issue Date

09/16/1981

Effective Date

09/16/1981

Expiration Date

05/31/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006