KELLY M COSTELLO Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051300725

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

COSTELLO

Business Name

KELLY M COSTELLO

Original Issue Date

09/08/2017

Effective Date

03/02/2026

Expiration Date

03/31/2028

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

03/02/2026