ROBERT G GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173230

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

Last Name

GUSTAFSON

Business Name

ROBERT G GUSTAFSON

Original Issue Date

12/15/2006

Effective Date

02/14/2012

Expiration Date

03/31/2013

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013