SAMANTHA D SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043116901

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

SHAW

Business Name

SAMANTHA D SHAW

Original Issue Date

05/17/2013

Effective Date

01/29/2019

Expiration Date

01/31/2021

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

03/11/2021