JENNIFER C D COSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049229661

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

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

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015