MARY SUSAN SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043023266

License Status

NOT RENEWED

Business

First Name

MARY SUSAN

Last Name

SHAW

Business Name

MARY SUSAN SHAW

Original Issue Date

06/03/1968

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/21/2005