KENNETH E GUSTAFSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069458

License Status

CANCELLED

Business

First Name

KENNETH E

Last Name

GUSTAFSON

Business Name

KENNETH E GUSTAFSON

Original Issue Date

06/02/1978

Effective Date

06/02/1978

Expiration Date

03/31/1982

City

ELBURN

State

Zip

60119

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005