COLLEEN L BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041240806

License Status

NOT RENEWED

Business

First Name

COLLEEN L

Last Name

BLACK

Business Name

COLLEEN L BLACK

Original Issue Date

03/13/1987

Effective Date

03/13/1987

Expiration Date

05/31/1988

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006