Professional Records
License Records
Tanya L. Black
License #:
CPT.006606 - Expired
Issued Date:
Oct 25, 2004
Expiration Date:
Sep 10, 2014
Type:
Certified Pharmacy Technician
Tanya Lea Black
License #:
39025 - Expired
Category:
Nursing Support
Issued Date:
Mar 19, 1998
Effective Date:
Jun 30, 1999
Expiration Date:
Mar 19, 2001
Type:
Care Staff Member
Tanya Lea Black
License #:
39025 - Expired
Category:
Nursing Support
Issued Date:
Jul 1, 1999
Effective Date:
Jul 8, 2002
Expiration Date:
Jul 1, 2002
Type:
Medication Aide ICF-MR/Nursing Home
Tanya Lea Black
License #:
39025 - Expired
Category:
Nursing Support
Issued Date:
Jan 15, 1998
Effective Date:
Mar 12, 2002
Type:
Nurse Aide
Tanya Lea Black
License #:
727 - Expired
Category:
Nursing Support
Issued Date:
Jan 15, 1998
Effective Date:
Jan 15, 1998
Type:
Nurse Aide ICF-MR Only
