DIANA BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041271560

License Status

NOT RENEWED

Business

First Name

DIANA

Last Name

BLACK

Business Name

DIANA BLACK

Original Issue Date

10/14/1992

Effective Date

10/14/1992

Expiration Date

05/31/1998

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006