MARY K COSTELLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100114

License Status

NOT RENEWED

Business

First Name

MARY K

Last Name

COSTELLO

Business Name

MARY K COSTELLO

Original Issue Date

05/09/1992

Effective Date

05/09/1992

Expiration Date

03/31/2003

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005