CASEY L GUSTAVISON - Registered Nurse License in Illinois | # 043082630

CASEY L GUSTAVISON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082630

License Status

NOT RENEWED

Business

N

First Name

CASEY

Middle

L

Last Name

GUSTAVISON

Business Name

CASEY L GUSTAVISON

Original Issue Date

09/11/1998

Effective Date

03/07/2001

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005