DORIS I BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041311931

License Status

NOT RENEWED

Business

First Name

DORIS

Middle

Last Name

BLACK

Business Name

DORIS I BLACK

Original Issue Date

10/06/1998

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

01/14/2021