REBECCA A SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084545

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

SHAW

Business Name

REBECCA A SHAW

Original Issue Date

01/12/2000

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

10/15/2005