EDGAR C SHAW JR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083792

License Status

NOT RENEWED

Business

First Name

EDGAR

Middle

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

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2011