ERIC ALLAN GUSTAFSON - Pharmacist License in Illinois | # 049132043

ERIC ALLAN GUSTAFSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049132043

License Status

NOT RENEWED

Business

N

First Name

ERIC

Middle

ALLAN

Last Name

GUSTAFSON

Business Name

ERIC ALLAN GUSTAFSON

Original Issue Date

08/08/2000

Effective Date

08/08/2000

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005