BRIAN D BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073136

License Status

NOT RENEWED

Business

First Name

BRIAN D

Last Name

BLACK

Business Name

BRIAN D BLACK

Original Issue Date

01/20/1993

Expiration Date

01/31/1995

City

MOUNT VERNON

State

Zip

47620

Ever Disciplined

LastModifiedDate

10/21/2005