EDGAR C SHAW JR - Registered Nurse License in Illinois | # 043083792

EDGAR C SHAW JR

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083792

License Status

NOT RENEWED

Business

N

First Name

EDGAR

Middle

C

Last Name

SHAW JR

Business Name

EDGAR C SHAW JR

Original Issue Date

06/25/1999

Effective Date

10/01/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011