KRISTLE J BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043114020

License Status

NOT RENEWED

Business

First Name

KRISTLE

Middle

Last Name

BLACK

Business Name

KRISTLE J BLACK

Original Issue Date

12/07/2011

Effective Date

01/25/2017

Expiration Date

01/31/2019

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

03/28/2019