ANNA L BLACK - Registered Nurse License in Illinois | # 041297047

ANNA L BLACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041297047

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006