ALAN CARL GUSTAVSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036179

License Status

INACTIVE

Business

First Name

ALAN CARL

Last Name

GUSTAVSON

Business Name

ALAN CARL GUSTAVSON

Original Issue Date

06/04/1986

Effective Date

06/04/1986

Expiration Date

03/31/1992

City

PORTAGE

State

Zip

49081

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/17/2005