MARK J DALLA COSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092857

License Status

NOT RENEWED

Business

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

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005