LOU C BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041315265

License Status

NOT RENEWED

Business

First Name

LOU

Middle

Last Name

BLACK

Business Name

LOU C BLACK

Original Issue Date

08/02/1999

Effective Date

08/19/2022

Expiration Date

06/30/2024

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

02/05/2025