CHANCEY D SHAW - Registered Nurse License in Illinois | # 043102857

CHANCEY D SHAW

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102857

License Status

NOT RENEWED

Business

N

First Name

CHANCEY

Middle

D

Last Name

SHAW

Business Name

CHANCEY D SHAW

Original Issue Date

12/11/2006

Effective Date

12/11/2006

Expiration Date

01/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

03/17/2009