JENNIE L SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039340

License Status

NOT RENEWED

Business

First Name

JENNIE L

Last Name

SHAW

Business Name

JENNIE L SHAW

Original Issue Date

05/11/1976

Expiration Date

01/31/1987

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005