DAVID THEODORE KOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130514

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

THEODORE

Last Name

KOCH

Business Name

DAVID THEODORE KOCH

Original Issue Date

04/12/2000

Effective Date

04/12/2000

Expiration Date

03/31/2004

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005