WAYNE DANIEL KOCH Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119233

License Status

ACTIVE

Business

First Name

WAYNE

Middle

DANIEL

Last Name

KOCH

Business Name

WAYNE DANIEL KOCH

Original Issue Date

10/30/1997

Effective Date

03/06/2026

Expiration Date

03/31/2027

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/06/2026