CONNIE L BLACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041276580

License Status

ACTIVE

Business

First Name

CONNIE

Middle

Last Name

BLACK

Business Name

CONNIE L BLACK

Original Issue Date

10/13/1993

Effective Date

05/11/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

03/01/2026