DALLAS J SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041406809

License Status

NOT RENEWED

Business

First Name

DALLAS

Middle

Last Name

SHAW

Business Name

DALLAS J SHAW

Original Issue Date

10/23/2012

Effective Date

06/16/2022

Expiration Date

06/30/2024

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

02/05/2025