DIANE BLACK - Registered Nurse License in Illinois | # 043031876

DIANE BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031876

License Status

NOT RENEWED

Business

N

First Name

DIANE

Last Name

BLACK

Business Name

DIANE BLACK

Original Issue Date

11/13/1972

Expiration Date

01/31/1995

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005