JIM A COSTABILE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183952

License Status

NOT RENEWED

Business

First Name

JIM

Middle

Last Name

COSTABILE

Business Name

JIM A COSTABILE

Original Issue Date

04/30/2008

Effective Date

03/17/2010

Expiration Date

03/31/2011

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/12/2011