ANNA M BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043023323

License Status

INACTIVE

Business

First Name

ANNA M

Last Name

BLACK

Business Name

ANNA M BLACK

Original Issue Date

07/02/1968

City

STEGER

State

Zip

60475

County

WILL

Ever Disciplined

LastModifiedDate

10/21/2005