SUSAN A COSTAN - Pharmacist License in Illinois | # 049085645

SUSAN A COSTAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049085645

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005