PEGGY L BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076289

License Status

NOT RENEWED

Business

First Name

PEGGY

Middle

Last Name

BLACK

Business Name

PEGGY L BLACK

Original Issue Date

10/12/1994

Expiration Date

01/31/1997

City

CASEY

State

Zip

62420

County

CLARK

Ever Disciplined

LastModifiedDate

04/05/2010