JILL S KOONTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105259

License Status

NOT RENEWED

Business

First Name

JILL S

Last Name

KOONTZ

Business Name

JILL S KOONTZ

Original Issue Date

11/18/1993

Effective Date

11/18/1993

Expiration Date

03/31/1996

City

MAPLETON

State

Zip

61547

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005