KRISTOFFER RYAN KOTOUCEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115999

License Status

NOT RENEWED

Business

First Name

KRISTOFFER RYAN

Last Name

KOTOUCEK

Business Name

KRISTOFFER RYAN KOTOUCEK

Original Issue Date

11/19/1996

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2009