License holder summary

MICHELLE MAE BLACK is a Certified Registered Nurse Practitioner licensed to practice in Pennsylvania. The address on file for MICHELLE MAE BLACK is Lemont PA 16851. This licensed professional license is current. The license was granted 07/18/2011 and expired on 10/31/2017.

Pennsylvania

Department of State

MICHELLE MAE BLACK
Certified Registered Nurse Practitioner
License number
SP011489
Date granted
07/18/2011
Date expires
10/31/2017
Class
Certified Registered Nurse Practitioner
Status
Active
Address
Lemont PA 16851
palicensing.org
ID 37701839
LAST UPDATED 2024-05-21 22:01:40 UTC

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