TENA BLACK MCCULLEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041368799

License Status

NOT RENEWED

Business

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

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/16/2010