ODELLA BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043000147

License Status

INACTIVE

Business

First Name

ODELLA

Last Name

BLACK

Business Name

ODELLA BLACK

Original Issue Date

04/01/1952

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/21/2005