LORI LYNN COSTAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049276528

License Status

NOT RENEWED

Business

First Name

LORI

Middle

LYNN

Last Name

COSTAIN

Business Name

LORI LYNN COSTAIN

Original Issue Date

10/09/2020

Effective Date

03/11/2021

Expiration Date

05/31/2022

City

ANTIOCH

State

Zip

60002

Ever Disciplined

LastModifiedDate

07/27/2022