JULIA M BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013340

License Status

INACTIVE

Business

First Name

JULIA M

Last Name

BLACK

Business Name

JULIA M BLACK

Original Issue Date

04/14/1965

Effective Date

02/01/2005

Expiration Date

01/31/2007

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2006