PENNY COSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273613

License Status

NOT RENEWED

Business

First Name

PENNY

Last Name

COSTA

Business Name

PENNY COSTA

Original Issue Date

06/05/2020

Effective Date

06/05/2020

Expiration Date

03/31/2021

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

07/20/2021