ADA Z KOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116344

License Status

NOT RENEWED

Business

First Name

ADA

Middle

Last Name

KOCH

Business Name

ADA Z KOCH

Original Issue Date

01/28/1997

Effective Date

01/28/1997

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005