The holder whose full name is Black, Beverly,come from Lexington NC,hold the Temporary RN Permit license(NO.99030112A) which status is Superceded.
| Name | Black, Beverly |
|---|---|
| License Number | 99030112A |
| License Type | Temporary RN Permit |
| License Status | Superceded |
| City | Lexington |
| State | NC |