TRACY L SHAW - Registered Nurse License in Illinois | # 043080403

TRACY L SHAW

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080403

License Status

NOT RENEWED

Business

N

First Name

TRACY L

Last Name

SHAW

Business Name

TRACY L SHAW

Original Issue Date

12/31/1996

Effective Date

03/04/2005

Expiration Date

01/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005