License holder summary

LAVAILIA D BLACK is a Practical Nurse licensed to practice in Pennsylvania. The address on file for LAVAILIA D BLACK is JACKSON MS 39209. This licensed professional license is not current. The license was granted 12/03/1971 and expired on 06/30/1992.

Pennsylvania

Department of State

LAVAILIA D BLACK
Practical Nurse
License number
PN049118L
Date granted
12/03/1971
Date expires
06/30/1992
Class
Practical Nurse
Status
Expired
Address
JACKSON MS 39209
palicensing.org
ID 37784884
LAST UPDATED 2026-05-18 13:53:41 UTC

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