BRADLEY C BLACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041264286

License Status

ACTIVE

Business

First Name

BRADLEY C

Last Name

BLACK

Business Name

BRADLEY C BLACK

Original Issue Date

09/24/1991

Effective Date

03/25/2024

Expiration Date

05/31/2026

City

WOOD RIVER

State

Zip

62095

Ever Disciplined

LastModifiedDate

02/28/2026