SALLY LOUISE SHAW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031753

License Status

INACTIVE

Business

First Name

SALLY LOUISE

Last Name

SHAW

Business Name

SALLY LOUISE SHAW

Original Issue Date

11/14/1972

Effective Date

01/11/2017

Expiration Date

01/31/2019

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

11/14/2018