CARMEN Y ACOSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162963

License Status

NOT RENEWED

Business

First Name

CARMEN

Middle

Last Name

ACOSTA

Business Name

CARMEN Y ACOSTA

Original Issue Date

08/12/2005

Effective Date

08/12/2005

Expiration Date

03/31/2006

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/14/2007