ANTHONY M KOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111432

License Status

NOT RENEWED

Business

First Name

ANTHONY M

Last Name

KOCH

Business Name

ANTHONY M KOCH

Original Issue Date

08/04/1995

Effective Date

08/04/1995

Expiration Date

03/31/1997

City

CRYSTAL LAKE

State

Zip

60014

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005