CARL J GUSTAFSON - Pharmacist License in Illinois | # 049141204

CARL J GUSTAFSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141204

License Status

NOT RENEWED

Business

N

First Name

CARL

Middle

J

Last Name

GUSTAFSON

Business Name

CARL J GUSTAFSON

Original Issue Date

03/06/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009