MARY ANNE GUSTAFSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041191881

License Status

NOT RENEWED

Business

First Name

MARY ANNE

Last Name

GUSTAFSON

Business Name

MARY ANNE GUSTAFSON

Original Issue Date

10/17/1979

Effective Date

03/25/2014

Expiration Date

05/31/2016

City

HOMER GLEN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

07/11/2016