MARY ANN R BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042615

License Status

NOT RENEWED

Business

First Name

MARY ANN R

Last Name

BLACK

Business Name

MARY ANN R BLACK

Original Issue Date

02/14/1978

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005