MITZI M SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077988

License Status

NOT RENEWED

Business

First Name

MITZI M

Last Name

SHAW

Business Name

MITZI M SHAW

Original Issue Date

09/20/1995

Expiration Date

01/31/1997

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

10/21/2005