ALEXANDREA JANE GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264104

License Status

NOT RENEWED

Business

First Name

ALEXANDREA

Middle

JANE

Last Name

GUSTAFSON

Business Name

ALEXANDREA JANE GUSTAFSON

Original Issue Date

04/05/2019

Effective Date

04/05/2019

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/08/2021