KENNETH E GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104027

License Status

NOT RENEWED

Business

First Name

KENNETH E

Last Name

GUSTAFSON

Business Name

KENNETH E GUSTAFSON

Original Issue Date

07/17/1993

Effective Date

02/25/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010