PENNY SHEARIDAN GUSTAFSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041204281

License Status

NOT RENEWED

Business

First Name

PENNY SHEARIDAN

Last Name

GUSTAFSON

Business Name

PENNY SHEARIDAN GUSTAFSON

Original Issue Date

10/08/1981

Effective Date

10/08/1981

Expiration Date

05/31/1994

City

MINOOKA

State

Zip

60447

County

GRUNDY

Ever Disciplined

LastModifiedDate

09/27/2006