ANNIE BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031294

License Status

INACTIVE

Business

First Name

ANNIE

Last Name

BLACK

Business Name

ANNIE BLACK

Original Issue Date

11/14/1972

Effective Date

01/23/2013

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

11/07/2014