REBEKAH ANN KOTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147980

License Status

NOT RENEWED

Business

First Name

REBEKAH

Middle

ANN

Last Name

KOTH

Business Name

REBEKAH ANN KOTH

Original Issue Date

04/14/2003

Effective Date

04/14/2003

Expiration Date

03/31/2004

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005