DEBRA ACOSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155296

License Status

NOT RENEWED

Business

First Name

DEBRA

Last Name

ACOSTA

Business Name

DEBRA ACOSTA

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

03/31/2005

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005