KIRSTEN E BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041294096

License Status

NOT RENEWED

Business

First Name

KIRSTEN E

Last Name

BLACK

Business Name

KIRSTEN E BLACK

Original Issue Date

11/29/1995

Effective Date

11/29/1995

Expiration Date

05/31/2000

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

09/27/2006