GREG E GUSTAVSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041243294

License Status

NOT RENEWED

Business

First Name

GREG E

Last Name

GUSTAVSON

Business Name

GREG E GUSTAVSON

Original Issue Date

10/02/1987

Effective Date

11/29/2011

Expiration Date

05/31/2012

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/10/2012