TAMARA D GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115412

License Status

NOT RENEWED

Business

First Name

TAMARA D

Last Name

GUSTAFSON

Business Name

TAMARA D GUSTAFSON

Original Issue Date

09/30/1996

Effective Date

03/30/2018

Expiration Date

03/31/2019

City

ELDRIDGE

State

Zip

52748

County

SCOTT

Ever Disciplined

LastModifiedDate

07/15/2019