MARILYN M GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041075980

License Status

INACTIVE

Business

First Name

MARILYN M

Last Name

GUSTAFSON

Business Name

MARILYN M GUSTAFSON

Original Issue Date

11/12/1953

Effective Date

11/12/1953

Expiration Date

05/31/2000

City

MAPLE GROVE

State

Zip

55369

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/27/2006