KEVIN M COSTIGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065410

License Status

NOT RENEWED

Business

First Name

KEVIN M

Last Name

COSTIGAN

Business Name

KEVIN M COSTIGAN

Original Issue Date

05/28/1976

Effective Date

05/28/1976

Expiration Date

01/01/1997

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005