JAMIE L SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041358527

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

SHAW

Business Name

JAMIE L SHAW

Original Issue Date

02/28/2007

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021