SARAH L BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043091397

License Status

NOT RENEWED

Business

First Name

SARAH

Middle

Last Name

BLACK

Business Name

SARAH L BLACK

Original Issue Date

05/10/2005

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/17/2009