MEREDITH S GUSTAFSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

NOT RENEWED

Business

First Name

MEREDITH

Middle

Last Name

GUSTAFSON

Business Name

MEREDITH S GUSTAFSON

Original Issue Date

03/10/2021

Effective Date

03/10/2021

Expiration Date

08/31/2022

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022