TISHA T BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083154

License Status

NOT RENEWED

Business

First Name

TISHA

Middle

Last Name

BLACK

Business Name

TISHA T BLACK

Original Issue Date

12/01/1998

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

10/15/2005