MIA M GUSTAFSON Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041465925

License Status

ACTIVE

Business

First Name

MIA

Middle

Last Name

GUSTAFSON

Business Name

MIA M GUSTAFSON

Original Issue Date

06/29/2018

Effective Date

05/17/2024

Expiration Date

05/31/2026

City

ROCK FALLS

State

Zip

61071

Ever Disciplined

LastModifiedDate

03/01/2026