GREG E GUSTAVSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063837

License Status

NOT RENEWED

Business

First Name

GREG E

Last Name

GUSTAVSON

Business Name

GREG E GUSTAVSON

Original Issue Date

01/10/1987

Expiration Date

01/31/1989

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/21/2005