PAULINE BLACK - Registered Nurse License in Illinois | # 043041664

PAULINE BLACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043041664

License Status

INACTIVE

Business

N

First Name

PAULINE

Last Name

BLACK

Business Name

PAULINE BLACK

Original Issue Date

04/12/1977

Expiration Date

05/01/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005