MARY ANN SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041073388

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

SHAW

Business Name

MARY ANN SHAW

Original Issue Date

11/20/1952

Effective Date

11/20/1952

City

FORT WAYNE

State

Zip

46807

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006