ANNIE BLACK - Registered Nurse License in Illinois | # 043031294

ANNIE BLACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031294

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

11/07/2014