ETHEL GUSTAFSON - Registered Nurse License in Illinois | # 043013350

ETHEL GUSTAFSON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013350

License Status

INACTIVE

Business

N

First Name

ETHEL

Last Name

GUSTAFSON

Business Name

ETHEL GUSTAFSON

Original Issue Date

04/14/1965

Expiration Date

01/31/1985

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005