JIMMY D SHAW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041222563

License Status

INACTIVE

Business

First Name

JIMMY D

Last Name

SHAW

Business Name

JIMMY D SHAW

Original Issue Date

05/09/1984

Effective Date

05/09/1984

Expiration Date

05/31/2004

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006