KELLY MARIE COSTELLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121117

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE

Last Name

COSTELLO

Business Name

KELLY MARIE COSTELLO

Original Issue Date

05/21/1998

Effective Date

05/21/1998

Expiration Date

03/31/2003

City

HAMPSHIRE

State

Zip

60140

County

DEKALB

Ever Disciplined

LastModifiedDate

10/20/2005