TENA BLACK MCCULLEN - Registered Nurse License in Illinois | # 041368799

TENA BLACK MCCULLEN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041368799

License Status

NOT RENEWED

Business

N

First Name

TENA

Middle

BLACK

Last Name

MCCULLEN

Business Name

TENA BLACK MCCULLEN

Original Issue Date

07/11/2008

Effective Date

07/11/2008

Expiration Date

05/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

08/16/2010