ELENA ROSE COSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266605

License Status

NOT RENEWED

Business

First Name

ELENA

Middle

ROSE

Last Name

COSTA

Business Name

ELENA ROSE COSTA

Original Issue Date

07/10/2019

Effective Date

02/02/2021

Expiration Date

05/31/2022

City

SHOREWOOD

State

Zip

60404

County

WILL

Ever Disciplined

LastModifiedDate

07/27/2022