RILEY J BLACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041540178

License Status

ACTIVE

Business

First Name

RILEY

Middle

Last Name

BLACK

Business Name

RILEY J BLACK

Original Issue Date

03/24/2023

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

MOWEAQUA

State

Zip

62550

County

SHELBY

Ever Disciplined

LastModifiedDate

03/01/2026