IMELDA SUMANG GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041282141

License Status

INACTIVE

Business

First Name

IMELDA SUMANG

Last Name

GUSTAFSON

Business Name

IMELDA SUMANG GUSTAFSON

Original Issue Date

07/21/1994

Effective Date

07/21/1994

Expiration Date

05/31/2006

City

COLUMBIA

State

Zip

38401

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/09/2006