ELIZABETH ANNE COSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065220

License Status

NOT RENEWED

Business

First Name

ELIZABETH ANNE

Last Name

COSTA

Business Name

ELIZABETH ANNE COSTA

Original Issue Date

04/23/1976

Effective Date

04/23/1976

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/12/2007