JANIS EAGAN GUSTAFSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041200558

License Status

NOT RENEWED

Business

First Name

JANIS EAGAN

Last Name

GUSTAFSON

Business Name

JANIS EAGAN GUSTAFSON

Original Issue Date

11/17/1980

Effective Date

11/17/1980

Expiration Date

05/31/1988

City

APO NEW YORK

State

Zip

09011

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/27/2006