TARA L GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339146

License Status

INACTIVE

Business

First Name

TARA

Middle

Last Name

GUSTAFSON

Business Name

TARA L GUSTAFSON

Original Issue Date

02/24/2004

Effective Date

03/17/2016

Expiration Date

05/31/2018

City

CARLYLE

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

03/06/2018