License holder summary

JACKIE E BLACK is a Nurse - Licensed Practical Nurse licensed to practice in Utah. The address on file for JACKIE E BLACK is SALEM, UT 84653. This licensed professional license is not current. The license was granted 12/12/1983 and expired on 12/31/1988.

Utah

Division of Occupational and Professional Licensing

JACKIE E BLACK
Nurse - Licensed Practical Nurse
License number
218040-3101
Date granted
12/12/1983
Date expires
12/31/1988
Class
Nurse - Licensed Practical Nurse
Status
Expired
Address
SALEM, UT 84653
utahlicensing.org
ID 29802459
LAST UPDATED 2026-03-16 12:39:00 UTC

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