AGNES H GUSTAVSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041044208

License Status

INACTIVE

Business

First Name

AGNES H

Last Name

GUSTAVSON

Business Name

AGNES H GUSTAVSON

Original Issue Date

07/07/1942

Effective Date

07/07/1942

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006