License holder summary

TARA L GUSTAFSON is a Licensed Practical Nurse licensed to practice in Illinois. The address on file for TARA L GUSTAFSON is CARLYLE, IL 62231. This nurses license is not current. The license was granted 01/17/1987 and expired on 01/31/2005.

Department of Financial and Professional Regulation

Board of Nursing

TARA L GUSTAFSON
Licensed Practical Nurse
License number
043064068
Date granted
01/17/1987
Date expires
01/31/2005
Class
Licensed Practical Nurse
Status
Not Renewed
Address
CARLYLE, IL 62231
illinoisnursing.org
ID 24623553
LAST UPDATED 2022-08-10 22:18:54 UTC

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