CHARLOTTE LEE BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041417151

License Status

NOT RENEWED

Business

First Name

CHARLOTTE

Middle

LEE

Last Name

BLACK

Business Name

CHARLOTTE LEE BLACK

Original Issue Date

01/09/2014

Effective Date

09/22/2020

Expiration Date

08/31/2022

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022