DEANNA B COSTELLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164118

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

Last Name

COSTELLO

Business Name

DEANNA B COSTELLO

Original Issue Date

09/22/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MANCHESTER

State

Zip

63021

Ever Disciplined

LastModifiedDate

05/02/2008