JACQUELINE BLACK
Nursing - Lpn
Michigan 4703065734 Deceased
This Michigan license was held by JACQUELINE BLACK. The license is no longer active. It was granted on 06/15/1990 and expired on 03/31/1997
LICENSE DETAILS
- License Number: 4703065734
- Category: LPN
- Status: Deceased
- Date Granted: 06/15/1990 (about 36 years ago)
- Expiry Date: 03/31/1997 (over 29 years ago)