ANDREA GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107503

License Status

INACTIVE

Business

First Name

ANDREA

Last Name

GUSTAFSON

Business Name

ANDREA GUSTAFSON

Original Issue Date

11/13/1963

Effective Date

11/13/1963

Expiration Date

05/31/2006

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006