Jodie Lee Black
InactiveIllinois license 041188583
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041188583
- Status
- Inactive
- First issued
- June 6, 1979
- License holder
- Jodie Lee Black
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 06/06/1979
Contact
Appleton, WI 54911
Wisconsin County