ANN A BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041344350

License Status

NOT RENEWED

Business

First Name

ANN

Middle

Last Name

BLACK

Business Name

ANN A BLACK

Original Issue Date

01/27/2005

Effective Date

04/12/2010

Expiration Date

05/31/2012

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

07/10/2012