DAVID DANIEL GUSTAVSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031609

License Status

INACTIVE

Business

First Name

DAVID DANIEL

Last Name

GUSTAVSON

Business Name

DAVID DANIEL GUSTAVSON

Original Issue Date

08/18/1977

Effective Date

02/05/2016

Expiration Date

03/31/2018

City

LAS VEGAS

State

Zip

89134

County

NEVADA

Ever Disciplined

LastModifiedDate

01/12/2018