CONSTANCE J GUSTAFSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041116304

License Status

NOT RENEWED

Business

First Name

CONSTANCE J

Last Name

GUSTAFSON

Business Name

CONSTANCE J GUSTAFSON

Original Issue Date

12/15/1965

Effective Date

05/16/2016

Expiration Date

05/31/2018

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

07/19/2018