NICHOL COSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168051

License Status

NOT RENEWED

Business

First Name

NICHOL

Last Name

COSTA

Business Name

NICHOL COSTA

Original Issue Date

04/21/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2009