VIVIAN A COSTELOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072322

License Status

NOT RENEWED

Business

First Name

VIVIAN A

Last Name

COSTELOW

Business Name

VIVIAN A COSTELOW

Original Issue Date

01/02/1980

Effective Date

01/02/1980

Expiration Date

03/31/1986

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005