TRACY L SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080403

License Status

NOT RENEWED

Business

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

City

CAVE-IN-ROCK

State

Zip

62919

County

HARDIN

Ever Disciplined

LastModifiedDate

10/15/2005