ANISSA D SHAW Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085997

License Status

ACTIVE

Business

First Name

ANISSA

Middle

Last Name

SHAW

Business Name

ANISSA D SHAW

Original Issue Date

03/14/2001

Effective Date

11/02/2024

Expiration Date

01/31/2027

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

11/02/2024