KENNETH E GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033885

License Status

NOT RENEWED

Business

First Name

KENNETH E

Last Name

GUSTAFSON

Business Name

KENNETH E GUSTAFSON

Original Issue Date

07/30/1981

Effective Date

01/23/2014

Expiration Date

03/31/2016

City

ELBURN

State

Zip

60119

County

KANE

Ever Disciplined

LastModifiedDate

05/20/2016