DOMINIC J ACOSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142927

License Status

NOT RENEWED

Business

First Name

DOMINIC

Middle

Last Name

ACOSTA

Business Name

DOMINIC J ACOSTA

Original Issue Date

06/04/2002

Effective Date

06/04/2002

Expiration Date

03/31/2004

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005