KATHY L BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041223791

License Status

NOT RENEWED

Business

First Name

KATHY L

Last Name

BLACK

Business Name

KATHY L BLACK

Original Issue Date

09/28/1984

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

BEECHER

State

Zip

60401

County

WILL

Ever Disciplined

LastModifiedDate

07/10/2012