Stacy Marie Shaw
Licensed Practical Nurse
Indiana 27050780A Suspended
This Indiana license was held by Stacy Marie Shaw. The license is no longer active. It was granted on 06/28/2002 and expired on 10/31/2006
LICENSE DETAILS
- License Number: 27050780A
- Category: Licensed Practical Nurse
- Status: Suspended
- Date Granted: 06/28/2002 (almost 22 years ago)
- Expiry Date: 10/31/2006 (over 17 years ago)
LOCATIONS
A Address
Kokomo IN 46902