JENNIFER LEE BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041350711

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LEE

Last Name

BLACK

Business Name

JENNIFER LEE BLACK

Original Issue Date

01/13/2006

Effective Date

05/17/2022

Expiration Date

06/30/2024

City

SAINT JACOB

State

Zip

62281

County

MADISON

Ever Disciplined

LastModifiedDate

02/05/2025