CARL J GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141204

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

GUSTAFSON

Business Name

CARL J GUSTAFSON

Original Issue Date

03/06/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/06/2009