KATHY DIANE BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043043730

License Status

NOT RENEWED

Business

First Name

KATHY DIANE

Last Name

BLACK

Business Name

KATHY DIANE BLACK

Original Issue Date

02/14/1978

City

VIENNA

State

Zip

62995

County

JOHNSON

Ever Disciplined

LastModifiedDate

10/21/2005