MARK J DALLA COSTA - Pharmacist License in Illinois | # 049092857

MARK J DALLA COSTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092857

License Status

NOT RENEWED

Business

N

First Name

MARK J

Last Name

DALLA COSTA

Business Name

MARK J DALLA COSTA

Original Issue Date

04/19/1990

Effective Date

04/19/1990

Expiration Date

03/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005