TRACEY MICHELLE SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115706

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

MICHELLE

Last Name

SHAW

Business Name

TRACEY MICHELLE SHAW

Original Issue Date

09/24/2012

Effective Date

12/31/2012

Expiration Date

01/31/2015

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/09/2015