MARY A BLACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032392

License Status

INACTIVE

Business

First Name

MARY A

Last Name

BLACK

Business Name

MARY A BLACK

Original Issue Date

12/13/1972

Expiration Date

01/31/1987

City

WILLINGBORO

State

Zip

08046

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/21/2005