MARCIA J BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017364

License Status

NOT RENEWED

Business

First Name

MARCIA J

Last Name

BLACK

Business Name

MARCIA J BLACK

Original Issue Date

12/19/1966

Effective Date

01/29/2015

Expiration Date

01/31/2017

City

STICKNEY

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017