GWENDOLYN A BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041272261

License Status

NOT RENEWED

Business

First Name

GWENDOLYN A

Last Name

BLACK

Business Name

GWENDOLYN A BLACK

Original Issue Date

11/16/1992

Effective Date

11/16/1992

Expiration Date

05/31/2000

City

RAPID CITY

State

Zip

61278

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

09/27/2006