MAGNOLIA SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043015014

License Status

NOT RENEWED

Business

First Name

MAGNOLIA

Last Name

SHAW

Business Name

MAGNOLIA SHAW

Original Issue Date

05/04/1966

Expiration Date

05/01/1982

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005