SUE MATULEVICH SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052690

License Status

NOT RENEWED

Business

First Name

SUE MATULEVICH

Last Name

SHAW

Business Name

SUE MATULEVICH SHAW

Original Issue Date

01/13/1982

Effective Date

01/03/2017

Expiration Date

01/31/2019

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/28/2019