ROBERTA BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017592

License Status

NOT RENEWED

Business

First Name

ROBERTA

Last Name

BLACK

Business Name

ROBERTA BLACK

Original Issue Date

01/18/1967

Effective Date

12/17/2008

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011