BETTY L GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043010603

License Status

INACTIVE

Business

First Name

BETTY L

Last Name

GUSTAFSON

Business Name

BETTY L GUSTAFSON

Original Issue Date

07/17/1962

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005