DAVID DANIEL GUSTAVSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060634

License Status

CANCELLED

Business

First Name

DAVID DANIEL

Last Name

GUSTAVSON

Business Name

DAVID DANIEL GUSTAVSON

Original Issue Date

11/23/1973

Effective Date

11/23/1973

Expiration Date

01/01/1997

City

BARRINGTON

State

Zip

60010

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005