BLAKE F SHAW - Registered Nurse License in Illinois | # 041533778

BLAKE F SHAW

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041533778

License Status

ACTIVE

Business

N

First Name

BLAKE

Middle

F

Last Name

SHAW

Business Name

BLAKE F SHAW

Original Issue Date

10/19/2022

Effective Date

06/26/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/01/2026