JANIS EAGAN GUSTAFSON - Registered Nurse License in New York | # 041200558

JANIS EAGAN GUSTAFSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041200558

License Status

NOT RENEWED

Business

N

First Name

JANIS EAGAN

Last Name

GUSTAFSON

Business Name

JANIS EAGAN GUSTAFSON

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1988

State

NY

Ever Disciplined

N

LastModifiedDate

09/27/2006