JENNIFER K BLACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041283512

License Status

ACTIVE

Business

First Name

JENNIFER K

Last Name

BLACK

Business Name

JENNIFER K BLACK

Original Issue Date

08/22/1994

Effective Date

05/12/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/28/2026