ANNA L BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041297047

License Status

INACTIVE

Business

First Name

ANNA L

Last Name

BLACK

Business Name

ANNA L BLACK

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

05/31/2000

City

NORTH CHICAGO

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/27/2006