KIM M COSTELLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091057

License Status

NOT RENEWED

Business

First Name

KIM

Middle

Last Name

COSTELLO

Business Name

KIM M COSTELLO

Original Issue Date

08/30/1989

Effective Date

08/30/1989

Expiration Date

03/31/1991

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005