TERRY L COSTALES - Pharmacist License in Illinois | # 049110413

TERRY L COSTALES

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110413

License Status

NOT RENEWED

Business

N

First Name

TERRY L

Last Name

COSTALES

Business Name

TERRY L COSTALES

Original Issue Date

05/09/1995

Effective Date

05/09/1995

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005