KATHY D BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089327

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

BLACK

Business Name

KATHY D BLACK

Original Issue Date

12/05/2003

Effective Date

11/27/2022

Expiration Date

02/28/2025

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/08/2025