SAMANTHA LYNN GUSTAFSON Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043126118

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

LYNN

Last Name

GUSTAFSON

Business Name

SAMANTHA LYNN GUSTAFSON

Original Issue Date

09/20/2018

Effective Date

01/17/2025

Expiration Date

01/31/2027

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/17/2025