JUDITH LEE GUSTAFSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067300

License Status

NOT RENEWED

Business

First Name

JUDITH LEE

Last Name

GUSTAFSON

Business Name

JUDITH LEE GUSTAFSON

Original Issue Date

05/20/1977

Effective Date

05/20/1977

Expiration Date

03/31/2005

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005