BRYANNA P COSTELLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049224400

License Status

NOT RENEWED

Business

First Name

BRYANNA

Middle

Last Name

COSTELLO

Business Name

BRYANNA P COSTELLO

Original Issue Date

04/08/2014

Effective Date

03/09/2016

Expiration Date

03/31/2017

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/10/2017