THOMAS A GUSTAFSON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072791

License Status

CANCELLED

Business

First Name

THOMAS A

Last Name

GUSTAFSON

Business Name

THOMAS A GUSTAFSON

Original Issue Date

04/10/1980

Effective Date

04/10/1980

Expiration Date

03/31/1984

City

LYONS

State

Zip

60534

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005