ELLEN COSTELLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205183

License Status

NOT RENEWED

Business

First Name

ELLEN

Last Name

COSTELLO

Business Name

ELLEN COSTELLO

Original Issue Date

07/06/2011

Effective Date

07/06/2011

Expiration Date

03/31/2012

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/07/2012