JENNIFER C D COSTA - Pharmacist License in Illinois | # 049229661

JENNIFER C D COSTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229661

License Status

NOT RENEWED

Business

N

First Name

JENNIFER

Middle

C

Last Name

D COSTA

Business Name

JENNIFER C D COSTA

Original Issue Date

12/02/2014

Effective Date

12/02/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015