STEPHANIE KAY GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199981

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

KAY

Last Name

GUSTAFSON

Business Name

STEPHANIE KAY GUSTAFSON

Original Issue Date

08/18/2010

Effective Date

08/18/2010

Expiration Date

03/31/2011

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

05/12/2011