ETHEL E GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017934

License Status

INACTIVE

Business

First Name

ETHEL E

Last Name

GUSTAFSON

Business Name

ETHEL E GUSTAFSON

Original Issue Date

01/24/1967

City

ALEXIS

State

Zip

61412

County

WARREN

Ever Disciplined

LastModifiedDate

10/21/2005