ELIZABETH ANN BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041344051

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

BLACK

Business Name

ELIZABETH ANN BLACK

Original Issue Date

12/17/2004

Effective Date

10/05/2020

Expiration Date

08/31/2022

City

VALLEY CITY

State

Zip

58072

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

10/14/2022