ODELLA BLACK - Registered Nurse License in Illinois | # 043000147

ODELLA BLACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043000147

License Status

INACTIVE

Business

N

First Name

ODELLA

Last Name

BLACK

Business Name

ODELLA BLACK

Original Issue Date

04/01/1952

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005