STACEY LYNN BLACK-SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041533438

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LYNN

Last Name

BLACK-SHAW

Business Name

STACEY LYNN BLACK-SHAW

Original Issue Date

10/14/2022

Effective Date

10/14/2022

Expiration Date

06/30/2024

City

DETROIT

State

Zip

48221

Ever Disciplined

LastModifiedDate

02/05/2025