HEATHER R KOONTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136192

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

KOONTZ

Business Name

HEATHER R KOONTZ

Original Issue Date

05/04/2001

Effective Date

03/16/2009

Expiration Date

03/31/2010

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010