CASEY L GUSTAVISON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082630

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

Last Name

GUSTAVISON

Business Name

CASEY L GUSTAVISON

Original Issue Date

09/11/1998

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/15/2005