M JANE BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043053992

License Status

NOT RENEWED

Business

First Name

M JANE

Last Name

BLACK

Business Name

M JANE BLACK

Original Issue Date

01/13/1982

Expiration Date

01/31/1985

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/21/2005