BETTY A COSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063590

License Status

NOT RENEWED

Business

First Name

BETTY A

Last Name

COSTA

Business Name

BETTY A COSTA

Original Issue Date

06/06/1975

Effective Date

06/06/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005