NICOLE L GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107466

License Status

INACTIVE

Business

First Name

NICOLE

Middle

Last Name

GUSTAFSON

Business Name

NICOLE L GUSTAFSON

Original Issue Date

02/13/2009

Effective Date

01/11/2013

Expiration Date

01/31/2015

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

11/07/2014