WENDELL GUSTAFSON Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010116

License Status

INACTIVE

Business

First Name

WENDELL

Last Name

GUSTAFSON

Business Name

WENDELL GUSTAFSON

Original Issue Date

08/07/2006

Effective Date

12/02/2011

Expiration Date

11/30/2013

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

09/05/2013