GERALD A KOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086877

License Status

NOT RENEWED

Business

First Name

GERALD A

Last Name

KOCH

Business Name

GERALD A KOCH

Original Issue Date

06/03/1988

Effective Date

01/15/2014

Expiration Date

03/31/2015

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2015