NAOMI R BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037551

License Status

INACTIVE

Business

First Name

NAOMI R

Last Name

BLACK

Business Name

NAOMI R BLACK

Original Issue Date

07/18/1975

Expiration Date

01/31/1993

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005