Jennifer Lee Black
ExpiredCalifornia license 645799
License
- Licensed by
- California Board of Registered Nursing
- License number
- 645799
- Status
- Expired (Delinquent)
- First issued
- October 1, 2004
- Expired
- October 31, 2018
- License holder
- Jennifer Lee Black
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
2032 Grandview Dr
Saint Jacob, IL 62281-1073
Saint Jacob, IL 62281-1073
Madison County