JEAN M BLACK - Registered Nurse License in Illinois | # 043082928

JEAN M BLACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082928

License Status

INACTIVE

Business

N

First Name

JEAN

Middle

M

Last Name

BLACK

Business Name

JEAN M BLACK

Original Issue Date

10/21/1998

Effective Date

01/07/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

11/03/2010