ROBERT GUSTAFSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059933

License Status

CANCELLED

Business

First Name

ROBERT

Last Name

GUSTAFSON

Business Name

ROBERT GUSTAFSON

Original Issue Date

07/20/1973

Effective Date

07/20/1973

Expiration Date

01/01/1997

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005