SUSAN MARIE SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041265834

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

SHAW

Business Name

SUSAN MARIE SHAW

Original Issue Date

10/12/1991

Effective Date

09/09/2020

Expiration Date

08/31/2022

City

FAIRBURY

State

Zip

61739

County

COLES

Ever Disciplined

LastModifiedDate

10/14/2022