SHANNAH L COSTA - Pharmacist License in Indiana | # 049222602

SHANNAH L COSTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222602

License Status

NOT RENEWED

Business

N

First Name

SHANNAH

Middle

L

Last Name

COSTA

Business Name

SHANNAH L COSTA

Original Issue Date

12/21/2013

Effective Date

02/26/2014

Expiration Date

03/31/2015

State

IN

Ever Disciplined

N

LastModifiedDate

05/11/2015