DARYL R GUSSARSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255576

License Status

NOT RENEWED

Business

First Name

DARYL

Middle

Last Name

GUSSARSON

Business Name

DARYL R GUSSARSON

Original Issue Date

01/17/2018

Effective Date

05/11/2022

Expiration Date

03/31/2023

City

ANTIOCH

State

Zip

60002

Ever Disciplined

LastModifiedDate

09/07/2023