CASEY L GUSTAVISON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209008417

License Status

ACTIVE

Business

First Name

CASEY

Middle

Last Name

GUSTAVISON

Business Name

CASEY L GUSTAVISON

Original Issue Date

10/14/2010

Effective Date

03/15/2024

Expiration Date

05/31/2026

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/02/2026