License holder summary

JACKIE E BLACK is a Nurse - Registered Nurse licensed to practice in Utah. The address on file for JACKIE E BLACK is SALEM, UT 84653. This nurse license is current. The license was granted 03/24/1988 and expired on 01/31/2015.

Division of Occupational and Professional Licensing

Board of Nursing

JACKIE E BLACK
Nurse - Registered Nurse
License number
218040-3102
Date granted
03/24/1988
Date expires
01/31/2015
Class
Nurse - Registered Nurse
Status
Active
Address
SALEM, UT 84653
nursingutah.org
ID 29834387
LAST UPDATED 2024-05-03 08:23:39 UTC

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