LISA ANN BLACK
Temporary Rn Permit
Indiana 99006441A Superceded
This Indiana license was held by LISA ANN BLACK. The license is no longer active. It was granted on 08/05/2002 and expired on 11/05/2002
LICENSE DETAILS
- License Number: 99006441A
- Category: Temporary RN Permit
- Status: Superceded
- Date Granted: 08/05/2002 (almost 24 years ago)
- Expiry Date: 11/05/2002 (over 23 years ago)
LOCATIONS
A Address
Fort Wayne IN 46845