KELLY SUE GUSTAFSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041410912

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

SUE

Last Name

GUSTAFSON

Business Name

KELLY SUE GUSTAFSON

Original Issue Date

06/12/2013

Effective Date

04/14/2014

Expiration Date

05/31/2016

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/11/2016