VINCENT M DACOSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169401

License Status

NOT RENEWED

Business

First Name

VINCENT

Middle

Last Name

DACOSTA

Business Name

VINCENT M DACOSTA

Original Issue Date

06/19/2006

Effective Date

02/13/2014

Expiration Date

03/31/2015

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015