ETHEL E GUSTAFSON - Registered Nurse License in Illinois | # 043017934

ETHEL E GUSTAFSON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017934

License Status

INACTIVE

Business

N

First Name

ETHEL E

Last Name

GUSTAFSON

Business Name

ETHEL E GUSTAFSON

Original Issue Date

01/24/1967

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005