DANA J GUSTAFSON - Pharmacist License in Illinois | # 049262736

DANA J GUSTAFSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262736

License Status

NOT RENEWED

Business

N

First Name

DANA

Middle

J

Last Name

GUSTAFSON

Business Name

DANA J GUSTAFSON

Original Issue Date

01/25/2019

Effective Date

02/18/2020

Expiration Date

03/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

07/20/2021