DEANNA M KOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127583

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

Last Name

KOCH

Business Name

DEANNA M KOCH

Original Issue Date

09/21/1999

Effective Date

09/21/1999

Expiration Date

03/31/2002

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

12/06/2005