TERRY L COSTALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110413

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005