Kimberly Ann Gustafson
ExpiredIllinois license 049106604
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049106604
- Status
- Expired (Not Renewed)
- First issued
- April 18, 1994
- Expired
- March 31, 1996
- License holder
- Kimberly Ann Gustafson
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 04/18/1994
Contact
Rantoul, IL 61866
Champaign County