LISA JO SAMPSON SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041164010

License Status

NOT RENEWED

Business

First Name

LISA JO SAMPSON

Last Name

SHAW

Business Name

LISA JO SAMPSON SHAW

Original Issue Date

10/24/1975

Effective Date

10/24/1975

City

CLOQUET

State

Zip

55720

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/27/2006