MARY E GUSTAFSON - Pharmacist License in Illinois | # 049069459

MARY E GUSTAFSON

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069459

License Status

CANCELLED

Business

N

First Name

MARY E

Last Name

GUSTAFSON

Business Name

MARY E GUSTAFSON

Original Issue Date

06/02/1978

Effective Date

06/02/1978

Expiration Date

03/31/1982

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005