ELAINE M NYSTROM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043042460

License Status

INACTIVE

Business

First Name

ELAINE M

Last Name

NYSTROM

Business Name

ELAINE M NYSTROM

Original Issue Date

09/12/1977

Effective Date

01/24/2013

Expiration Date

01/31/2015

City

MACHESNEY PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/07/2014