C LOUISE GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041030592

License Status

INACTIVE

Business

First Name

C LOUISE

Last Name

GUSTAFSON

Business Name

C LOUISE GUSTAFSON

Original Issue Date

01/18/1936

Effective Date

01/18/1936

Expiration Date

05/31/1988

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006