LUCILLE G SHAW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043024640

License Status

INACTIVE

Business

First Name

LUCILLE G

Last Name

SHAW

Business Name

LUCILLE G SHAW

Original Issue Date

01/30/1969

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005