DIANE GORDON SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041183812

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

GORDON

Last Name

SHAW

Business Name

DIANE GORDON SHAW

Original Issue Date

10/16/1978

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021