PATRICE J DA COSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049227894

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

Last Name

DA COSTA

Prefix

Business Name

PATRICE J DA COSTA

Original Issue Date

09/17/2014

Effective Date

03/27/2015

Expiration Date

03/31/2016

City

ISLAND LAKE

State

Zip

60042

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016