JOHNATHAN R GUSTAFSON Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041521670

License Status

ACTIVE

Business

First Name

JOHNATHAN

Middle

Last Name

GUSTAFSON

Business Name

JOHNATHAN R GUSTAFSON

Original Issue Date

02/23/2022

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61615

Ever Disciplined

LastModifiedDate

03/01/2026