IMELDA SUMANG GUSTAFSON - Registered Nurse License in Tennessee | # 041282141

IMELDA SUMANG GUSTAFSON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041282141

License Status

INACTIVE

Business

N

First Name

IMELDA SUMANG

Last Name

GUSTAFSON

Business Name

IMELDA SUMANG GUSTAFSON

Original Issue Date

07/21/1994

Effective Date

07/21/1994

Expiration Date

05/31/2006

State

TN

Ever Disciplined

N

LastModifiedDate

10/09/2006