JEAN M BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082928

License Status

INACTIVE

Business

First Name

JEAN

Middle

Last Name

BLACK

Business Name

JEAN M BLACK

Original Issue Date

10/21/1998

Effective Date

01/07/2009

Expiration Date

01/31/2011

City

ALTAMONT

State

Zip

62411

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

11/03/2010