AGATHA BLACK - Registered Nurse License in Illinois | # 043003292

AGATHA BLACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043003292

License Status

INACTIVE

Business

N

First Name

AGATHA

Last Name

BLACK

Business Name

AGATHA BLACK

Original Issue Date

04/01/1953

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005