PAUL JEFFREY GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143131

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

JEFFREY

Last Name

GUSTAFSON

Business Name

PAUL JEFFREY GUSTAFSON

Original Issue Date

06/13/2002

Effective Date

07/22/2013

Expiration Date

03/31/2014

City

WINTHROP HARBOR

State

Zip

60096

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2014