GERI A BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041217741

License Status

INACTIVE

Business

First Name

GERI

Middle

Last Name

BLACK

Business Name

GERI A BLACK

Original Issue Date

11/08/1983

Effective Date

03/30/2020

Expiration Date

08/31/2022

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/03/2022