DAVID A COSTANZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091327

License Status

NOT RENEWED

Business

First Name

DAVID A

Last Name

COSTANZA

Business Name

DAVID A COSTANZA

Original Issue Date

10/03/1989

Effective Date

10/03/1989

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005