PAULINE BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041664

License Status

INACTIVE

Business

First Name

PAULINE

Last Name

BLACK

Business Name

PAULINE BLACK

Original Issue Date

04/12/1977

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005