DEBRA J BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043049854

License Status

NOT RENEWED

Business

First Name

DEBRA J

Last Name

BLACK

Business Name

DEBRA J BLACK

Original Issue Date

07/02/1980

Effective Date

01/28/2011

Expiration Date

01/31/2013

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2013