PENNY SUE BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041425266

License Status

NOT RENEWED

Business

First Name

PENNY

Middle

SUE

Last Name

BLACK

Business Name

PENNY SUE BLACK

Original Issue Date

10/07/2014

Effective Date

05/18/2018

Expiration Date

09/30/2020

City

PARIS

State

Zip

61944

County

EDGAR

Ever Disciplined

LastModifiedDate

01/14/2021