SANDRA J KOONTZ MITCHELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096496

License Status

NOT RENEWED

Business

First Name

SANDRA J

Last Name

KOONTZ MITCHELL

Business Name

SANDRA J KOONTZ MITCHELL

Original Issue Date

04/12/1991

Effective Date

04/12/1991

Expiration Date

03/31/1993

City

MORRISONVILLE

State

Zip

62546

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005