LUCILLE GRACE SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041193186

License Status

NOT RENEWED

Business

First Name

LUCILLE GRACE

Last Name

SHAW

Business Name

LUCILLE GRACE SHAW

Original Issue Date

10/17/1979

Effective Date

10/17/1979

Expiration Date

05/31/2008

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

07/11/2008