DONNA SUE BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043026487

License Status

NOT RENEWED

Business

First Name

DONNA SUE

Last Name

BLACK

Business Name

DONNA SUE BLACK

Original Issue Date

04/13/1970

City

CRYSTAL LAKE

State

Zip

60014

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005