License holder summary

VIVIAN T. BLACK is a Nursing - Licensed Practical Nurse licensed to practice in Maine. The address on file for VIVIAN T. BLACK is 63 SHAW HILL RD UNIT 1, MINOT, ME 04258-4444. This licensed professional license is current. The license was granted 05/27/1982 and expired on 11/02/2016.

Maine

Office of Professional and Occupational Regulation

VIVIAN T. BLACK
Nursing - Licensed Practical Nurse
License number
LPN7452
Date granted
05/27/1982
Date expires
11/02/2016
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
63 SHAW HILL RD UNIT 1, MINOT, ME 04258-4444
mainelicensing.org
ID 21205130
LAST UPDATED 2024-04-11 13:34:05 UTC

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