| Name | FLORENCE ANN BLACK |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| IP.408697-MEDS | Practical Nurse w/MEDS- Temporary Work Permit | 11/06/2009 | 11/06/2009 | 05/06/2010 | CLOSED | License Issued | |||||||||
| PN.137242-MEDS | Licensed Practical Nurse - MEDS | 11/12/2009 | 11/12/2009 | 08/31/2010 | LAPSED | Endorsement | |||||||||