SUSAN A COSTAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085645

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

COSTAN

Business Name

SUSAN A COSTAN

Original Issue Date

12/22/1987

Effective Date

12/22/1987

Expiration Date

03/31/2000

City

WAUCONDA

State

Zip

60084

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005