ETHEL B GUSTAFSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041006978

License Status

NOT RENEWED

Business

First Name

ETHEL B

Last Name

GUSTAFSON

Business Name

ETHEL B GUSTAFSON

Original Issue Date

11/12/1918

Effective Date

11/12/1918

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006