DEBORAH E BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043109232

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

Last Name

BLACK

Business Name

DEBORAH E BLACK

Original Issue Date

10/22/2009

Effective Date

01/28/2015

Expiration Date

01/31/2017

City

FARMINGTON

State

Zip

61531

County

FULTON

Ever Disciplined

LastModifiedDate

03/27/2017