JUDITH LEE GUSTAFSON - Pharmacist License in Indiana | # 049067300

JUDITH LEE GUSTAFSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067300

License Status

NOT RENEWED

Business

N

First Name

JUDITH LEE

Last Name

GUSTAFSON

Business Name

JUDITH LEE GUSTAFSON

Original Issue Date

05/20/1977

Effective Date

05/20/1977

Expiration Date

03/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/20/2005