Martha W Black
InactiveIllinois license 041042467
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041042467
- Status
- Inactive
- First issued
- April 2, 1980
- License holder
- Martha W Black
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 04/02/1980
Contact
South Elgin, IL 60177
Cook County