JACQUELINE S GUSTAFSON - Pharmacist License in Illinois | # 049159365

JACQUELINE S GUSTAFSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159365

License Status

NOT RENEWED

Business

N

First Name

JACQUELINE

Middle

S

Last Name

GUSTAFSON

Business Name

JACQUELINE S GUSTAFSON

Original Issue Date

02/23/2005

Effective Date

02/25/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012