TRACI ANN GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041314087

License Status

INACTIVE

Business

First Name

TRACI

Middle

ANN

Last Name

GUSTAFSON

Business Name

TRACI ANN GUSTAFSON

Original Issue Date

04/20/1999

Effective Date

04/20/1999

Expiration Date

05/31/2000

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006