SAMANTHA WRAE COSTELLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049297190

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

WRAE

Last Name

COSTELLO

Business Name

SAMANTHA WRAE COSTELLO

Original Issue Date

10/29/2022

Effective Date

03/11/2023

Expiration Date

03/31/2024

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/03/2025