BLAKE F SHAW Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041533778

License Status

ACTIVE

Business

First Name

BLAKE

Middle

Last Name

SHAW

Business Name

BLAKE F SHAW

Original Issue Date

10/19/2022

Effective Date

06/26/2024

Expiration Date

05/31/2026

City

ST. JOSEPH

State

Zip

61873

Ever Disciplined

LastModifiedDate

03/01/2026