PATRICIA ANN BLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296918

License Status

NOT RENEWED

Business

First Name

PATRICIA ANN

Last Name

BLACK

Business Name

PATRICIA ANN BLACK

Original Issue Date

05/28/1996

Effective Date

05/28/1996

Expiration Date

05/31/2004

City

WALWORTH

State

Zip

53184

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006