NICHOLAS A KOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140723

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

Last Name

KOCH

Business Name

NICHOLAS A KOCH

Original Issue Date

02/19/2002

Effective Date

02/19/2002

Expiration Date

03/31/2003

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005