ROBERT J GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029571

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

GUSTAFSON

Business Name

ROBERT J GUSTAFSON

Original Issue Date

07/27/1973

Effective Date

02/04/2014

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016