DANA J GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262736

License Status

NOT RENEWED

Business

First Name

DANA

Middle

Last Name

GUSTAFSON

Business Name

DANA J GUSTAFSON

Original Issue Date

01/25/2019

Effective Date

02/18/2020

Expiration Date

03/31/2021

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/20/2021