NameFLORENCE ANN BLACK
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
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

Comments


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