ADA M GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041019610

License Status

INACTIVE

Business

First Name

ADA M

Last Name

GUSTAFSON

Business Name

ADA M GUSTAFSON

Original Issue Date

04/25/1930

Effective Date

04/25/1930

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006