LORA M GUSTAFSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043003154

License Status

NOT RENEWED

Business

First Name

LORA M

Last Name

GUSTAFSON

Business Name

LORA M GUSTAFSON

Expiration Date

01/31/1991

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005