DORIS I BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043051197

License Status

INACTIVE

Business

First Name

DORIS

Middle

Last Name

BLACK

Business Name

DORIS I BLACK

Original Issue Date

01/08/1981

Expiration Date

01/31/1999

City

PAYSON

State

Zip

62360

County

ADAMS

Ever Disciplined

LastModifiedDate

05/27/2005