VICKIE J BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041360659

License Status

NOT RENEWED

Business

First Name

VICKIE

Middle

Last Name

BLACK

Business Name

VICKIE J BLACK

Original Issue Date

06/27/2007

Effective Date

05/03/2012

Expiration Date

05/31/2014

City

PARK RAPIDS

State

Zip

56470

County

MINNESOTA

Ever Disciplined

LastModifiedDate

07/03/2014