DIANA ELIZABETH KOSTOLANSKY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158985

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

ELIZABETH

Last Name

KOSTOLANSKY

Business Name

DIANA ELIZABETH KOSTOLANSKY

Original Issue Date

01/28/2005

Effective Date

01/28/2005

Expiration Date

03/31/2006

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006