RICHARD ANTHONY COSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133597

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

ANTHONY

Last Name

COSTA

Business Name

RICHARD ANTHONY COSTA

Original Issue Date

11/13/2000

Effective Date

11/13/2000

Expiration Date

03/31/2003

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005