LORI A GUSTAVISON Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111793

License Status

ACTIVE

Business

First Name

LORI A

Last Name

GUSTAVISON

Business Name

LORI A GUSTAVISON

Original Issue Date

09/18/1995

Effective Date

03/17/2026

Expiration Date

03/31/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/17/2026