AMBER L GUSTAFSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041347430

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

Last Name

GUSTAFSON

Business Name

AMBER L GUSTAFSON

Original Issue Date

08/09/2005

Effective Date

06/04/2012

Expiration Date

05/31/2014

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

05/11/2015