STEPHEN JAMES GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113913

License Status

NOT RENEWED

Business

First Name

STEPHEN JAMES

Last Name

GUSTAFSON

Business Name

STEPHEN JAMES GUSTAFSON

Original Issue Date

04/04/1996

Effective Date

04/04/1996

Expiration Date

03/31/1997

City

BETTENDORF

State

Zip

52722

Ever Disciplined

LastModifiedDate

10/17/2005