CAROL A BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041306479

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

Last Name

BLACK

Business Name

CAROL A BLACK

Original Issue Date

10/10/1997

Effective Date

10/10/1997

Expiration Date

05/31/1998

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006