SUSAN MARIE SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062670

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

MARIE

Last Name

SHAW

Business Name

SUSAN MARIE SHAW

Original Issue Date

02/18/1986

Expiration Date

01/31/1993

City

GAYS

State

Zip

61928

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/21/2005