ETHEL GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013350

License Status

INACTIVE

Business

First Name

ETHEL

Last Name

GUSTAFSON

Business Name

ETHEL GUSTAFSON

Original Issue Date

04/14/1965

Expiration Date

01/31/1985

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005