AMY MAUREEN GUSTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153061

License Status

NOT RENEWED

Business

First Name

AMY

Middle

MAUREEN

Last Name

GUSTIN

Business Name

AMY MAUREEN GUSTIN

Original Issue Date

01/29/2004

Effective Date

01/29/2004

Expiration Date

03/31/2006

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/11/2006