ELIZABETH ANNE COSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035215

License Status

NOT RENEWED

Business

First Name

ELIZABETH ANNE

Last Name

COSTA

Business Name

ELIZABETH ANNE COSTA

Original Issue Date

03/15/1984

Effective Date

03/15/1984

Expiration Date

03/31/1986

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005