CYNTHIA ANN GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268523

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

ANN

Last Name

GUSTAFSON

Business Name

CYNTHIA ANN GUSTAFSON

Original Issue Date

10/17/2019

Effective Date

03/11/2021

Expiration Date

05/31/2022

City

VIOLA

State

Zip

61486

County

MERCER

Ever Disciplined

LastModifiedDate

07/27/2022