DIEGO MAURICIO COSTALES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139030

License Status

NOT RENEWED

Business

First Name

DIEGO

Middle

MAURICIO

Last Name

COSTALES

Business Name

DIEGO MAURICIO COSTALES

Original Issue Date

11/02/2001

Effective Date

03/19/2022

Expiration Date

03/31/2023

City

RIVER GROVE

State

Zip

60171

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023