CHALYCE M GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041092928

License Status

INACTIVE

Business

First Name

CHALYCE M

Last Name

GUSTAFSON

Business Name

CHALYCE M GUSTAFSON

Original Issue Date

04/01/1959

Effective Date

04/01/1959

Expiration Date

05/31/1994

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006