MARY J GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076156

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

GUSTAFSON

Business Name

MARY J GUSTAFSON

Original Issue Date

03/12/1982

Effective Date

03/12/1982

Expiration Date

03/31/1984

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005