MARIA L COSTA - Pharmacist License in Illinois | # 049096654

MARIA L COSTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096654

License Status

NOT RENEWED

Business

N

First Name

MARIA L

Last Name

COSTA

Business Name

MARIA L COSTA

Original Issue Date

04/22/1991

Effective Date

04/22/1991

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005