License holder summary

GUSTAFSON , MACKENZIE JO is a Department Of Health - Pharmacist licensed to practice in Tennessee. This medical licensee license is current. The license was granted 07/25/2012 and expired on 07/31/2018.

Department of Health

Board of Medical Examiners

GUSTAFSON , MACKENZIE JO
Department Of Health - Pharmacist
License number
36829
Date granted
07/25/2012
Date expires
07/31/2018
Class
Department Of Health - Pharmacist
Status
Licensed
Address
medicaltn.com
ID 42270511
LAST UPDATED 2026-03-20 15:16:04 UTC

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