CAMILLE ELISE LEITHOLD GERZEMA SHAW Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041541667

License Status

ACTIVE

Business

First Name

CAMILLE

Middle

ELISE LEITHOLD GERZEMA

Last Name

SHAW

Business Name

CAMILLE ELISE LEITHOLD GERZEMA SHAW

Original Issue Date

04/11/2023

Effective Date

03/03/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/01/2026