Mary Jane Black
InactiveIllinois license 041052052
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041052052
- Status
- Inactive
- First issued
- January 1, 1997
- Expired
- May 31, 1990
- License holder
- Mary Jane Black
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
Contact
Morris, IL 60450
Grundy County