MICHELLE L BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041315814

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

BLACK

Business Name

MICHELLE L BLACK

Original Issue Date

08/18/1999

Effective Date

04/04/2014

Expiration Date

05/31/2016

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

07/11/2016