DIANE M COSTABILE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072723

License Status

NOT RENEWED

Business

First Name

DIANE M

Last Name

COSTABILE

Business Name

DIANE M COSTABILE

Original Issue Date

03/31/1980

Effective Date

03/31/1980

Expiration Date

03/31/1982

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005