LA WANDA A SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109723

License Status

NOT RENEWED

Business

First Name

LA WANDA A

Last Name

SHAW

Business Name

LA WANDA A SHAW

Original Issue Date

04/01/1964

Effective Date

04/01/1964

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

09/27/2006