ROBERTA B SHAW - Registered Nurse License in Illinois | # 043029939

ROBERTA B SHAW

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029939

License Status

INACTIVE

Business

N

First Name

ROBERTA B

Last Name

SHAW

Business Name

ROBERTA B SHAW

Original Issue Date

12/15/1971

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005