CONNIE L BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066600

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

BLACK

Business Name

CONNIE L BLACK

Original Issue Date

01/07/1989

Expiration Date

01/31/1995

City

DECATUR

State

Zip

62521

Ever Disciplined

LastModifiedDate

10/21/2005