DALLAS J SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115110

License Status

NOT RENEWED

Business

First Name

DALLAS

Middle

Last Name

SHAW

Business Name

DALLAS J SHAW

Original Issue Date

08/03/2012

Effective Date

08/03/2012

Expiration Date

01/31/2013

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

03/20/2013