SHANNAH L COSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222602

License Status

NOT RENEWED

Business

First Name

SHANNAH

Middle

Last Name

COSTA

Business Name

SHANNAH L COSTA

Original Issue Date

12/21/2013

Effective Date

02/26/2014

Expiration Date

03/31/2015

City

COVINGTON

State

Zip

47932

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2015