EUGENE MARVIN SHAW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041176616

License Status

INACTIVE

Business

First Name

EUGENE MARVIN

Last Name

SHAW

Business Name

EUGENE MARVIN SHAW

Original Issue Date

10/12/1977

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

YUMA

State

Zip

85367

County

ARIZONA

Ever Disciplined

LastModifiedDate

03/05/2010