PETRICE MARIE COSTELLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069318

License Status

NOT RENEWED

Business

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

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005