Jimmy D Shaw
InactiveIllinois license 041222563
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 041222563
- Status
- Inactive
- First issued
- May 9, 1984
- Expired
- May 31, 2004
- License holder
- Jimmy D Shaw
- Entity type
- Individual
Classifications
- Registered Professional Nurse (Nursing Board) Nursing
More from the license record
- Current term began
- 05/09/1984
Contact
Rantoul, IL 61866
Champaign County