LISA M BLACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041260126

License Status

ACTIVE

Business

First Name

LISA M

Last Name

BLACK

Business Name

LISA M BLACK

Original Issue Date

10/12/1990

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

02/28/2026