Timothy Lee Shaw
ExpiredCalifornia license 642766
License
- Licensed by
- California Board of Registered Nursing
- License number
- 642766
- Status
- Expired (Delinquent)
- First issued
- August 11, 2004
- Expired
- May 31, 2012
- License holder
- Timothy Lee Shaw
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
11055 Owhat Cir
Eagle River, AK 99577
Eagle River, AK 99577
Anchorage County