PETRICE MARIE COSTELLO - Pharmacist License in Illinois | # 049069318

PETRICE MARIE COSTELLO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069318

License Status

NOT RENEWED

Business

N

First Name

PETRICE MARIE

Last Name

COSTELLO

Business Name

PETRICE MARIE COSTELLO

Original Issue Date

05/12/1978

Effective Date

05/12/1978

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005