PAULA RAE GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041182780

License Status

INACTIVE

Business

First Name

PAULA RAE

Last Name

GUSTAFSON

Business Name

PAULA RAE GUSTAFSON

Original Issue Date

10/16/1978

Effective Date

07/22/2022

Expiration Date

05/31/2024

City

ORION

State

Zip

61273

County

HENRY

Ever Disciplined

LastModifiedDate

05/14/2024