SANDRA L GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102277

License Status

INACTIVE

Business

First Name

SANDRA L

Last Name

GUSTAFSON

Business Name

SANDRA L GUSTAFSON

Original Issue Date

01/23/1962

Effective Date

05/27/2010

Expiration Date

05/31/2012

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012