CARL M GUSTAFSON Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028326

License Status

INACTIVE

Business

First Name

CARL M

Last Name

GUSTAFSON

Business Name

CARL M GUSTAFSON

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

BEAVERTON

State

Zip

97006

County

OREGON

Ever Disciplined

LastModifiedDate

12/06/2005