MILDRED LEE BLACK - Registered Nurse License in Illinois | # 043035587

MILDRED LEE BLACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043035587

License Status

NOT RENEWED

Business

N

First Name

MILDRED LEE

Last Name

BLACK

Business Name

MILDRED LEE BLACK

Original Issue Date

09/11/1974

Effective Date

01/26/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011