License holder summary

Shirley Mae Black is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for Shirley Mae Black is Dayton OH 45449. This nurse license is not current. The license was granted 02/22/1999 and expired on 10/31/2006.

Indiana

State Board of Nursing

Shirley Mae Black
Licensed Practical Nurse
License number
27046491A
Date granted
02/22/1999
Date expires
10/31/2006
Class
Licensed Practical Nurse
Status
Expired
Address
Dayton OH 45449
nursingindiana.org
ID 6468802
LAST UPDATED 2024-04-07 06:14:58 UTC

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