MICHAEL A COSTELLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197649

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

COSTELLO

Business Name

MICHAEL A COSTELLO

Original Issue Date

04/05/2010

Effective Date

04/05/2010

Expiration Date

03/31/2011

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011