MITCHELL L GUSTAFSON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076438

License Status

INACTIVE

Business

First Name

MITCHELL L

Last Name

GUSTAFSON

Business Name

MITCHELL L GUSTAFSON

Original Issue Date

10/24/1994

Expiration Date

01/31/1999

City

COLUMBIA

State

Zip

38401

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/15/2005