RICHARD COSTAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076152

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

COSTAN

Business Name

RICHARD COSTAN

Original Issue Date

03/12/1982

Effective Date

03/19/2009

Expiration Date

03/31/2010

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

05/04/2010