DIANE M SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041194798

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

SHAW

Business Name

DIANE M SHAW

Original Issue Date

05/06/1980

Effective Date

05/06/2020

Expiration Date

08/31/2022

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2022