CHANCEY D SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102857

License Status

NOT RENEWED

Business

First Name

CHANCEY

Middle

Last Name

SHAW

Business Name

CHANCEY D SHAW

Original Issue Date

12/11/2006

Effective Date

12/11/2006

Expiration Date

01/31/2009

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

03/17/2009