MIA M GUSTAFSON - Registered Nurse License in Illinois | # 043122869

MIA M GUSTAFSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043122869

License Status

NOT RENEWED

Business

N

First Name

MIA

Middle

M

Last Name

GUSTAFSON

Business Name

MIA M GUSTAFSON

Original Issue Date

08/18/2016

Effective Date

12/05/2016

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019