ETHEL V GUSTAFSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041420796

License Status

NOT RENEWED

Business

First Name

ETHEL

Middle

Last Name

GUSTAFSON

Business Name

ETHEL V GUSTAFSON

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

05/31/2016

City

JAMESTOWN

State

Zip

14701

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/11/2016