GIDGET DALE BLACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041524807

License Status

ACTIVE

Business

First Name

GIDGET

Middle

DALE

Last Name

BLACK

Business Name

GIDGET DALE BLACK

Original Issue Date

04/25/2022

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

SALEM

State

Zip

47167

Ever Disciplined

LastModifiedDate

03/01/2026