JUSTIN S COSTELLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135585

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

COSTELLO

Business Name

JUSTIN S COSTELLO

Original Issue Date

04/04/2001

Effective Date

04/04/2001

Expiration Date

03/31/2003

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005