LOIS L BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041181934

License Status

NOT RENEWED

Business

First Name

LOIS L

Last Name

BLACK

Business Name

LOIS L BLACK

Original Issue Date

10/16/1978

Effective Date

10/19/2010

Expiration Date

05/31/2012

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012