NICHOL COSTA - Pharmacist License in Illinois | # 049168051

NICHOL COSTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168051

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009