SAMANTHA NICOLE COSTELLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049283817

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

NICOLE

Last Name

COSTELLO

Business Name

SAMANTHA NICOLE COSTELLO

Original Issue Date

06/28/2021

Effective Date

05/30/2022

Expiration Date

03/31/2023

City

GARY

State

Zip

46408

Ever Disciplined

LastModifiedDate

09/07/2023