STACEY LYNN BLACK-SHAW - Registered Nurse License in Michigan | # 041533438

STACEY LYNN BLACK-SHAW

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041533438

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

LYNN

Last Name

BLACK-SHAW

Business Name

STACEY LYNN BLACK-SHAW

Original Issue Date

10/14/2022

Effective Date

10/14/2022

Expiration Date

06/30/2024

State

MI

Ever Disciplined

N

LastModifiedDate

02/05/2025