LESLIE C SHAW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041342977

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

SHAW

Business Name

LESLIE C SHAW

Original Issue Date

09/28/2004

Effective Date

04/08/2010

Expiration Date

05/31/2012

City

WAUWATOSA

State

Zip

53213

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/10/2012