VIVIAN L SHAW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041086738

License Status

INACTIVE

Business

First Name

VIVIAN L

Last Name

SHAW

Business Name

VIVIAN L SHAW

Original Issue Date

01/31/1957

Effective Date

01/31/1957

Expiration Date

05/31/1984

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006