PETER C COSTIANIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124861

License Status

NOT RENEWED

Business

First Name

PETER

Middle

Last Name

COSTIANIS

Business Name

PETER C COSTIANIS

Original Issue Date

03/01/1999

Effective Date

03/01/1999

Expiration Date

03/31/2005

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005