Indiana
State Board of Nursing
Stacy Marie Shaw
Licensed Practical Nurse
License number
27050780A
Date granted
06/28/2002
Date expires
10/31/2006
Class
Licensed Practical Nurse
Status
Suspended
Address
Kokomo IN 46902
nursingindiana.org
ID 12148950
LAST UPDATED 2024-02-26 14:59:43 UTC
LAST UPDATED 2024-02-26 14:59:43 UTC
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