DIXIE L GUSTAFSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041224503

License Status

NOT RENEWED

Business

First Name

DIXIE L

Last Name

GUSTAFSON

Business Name

DIXIE L GUSTAFSON

Original Issue Date

10/02/1984

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/16/2010