CYNTHIA JEAN KOONTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150922

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

JEAN

Last Name

KOONTZ

Business Name

CYNTHIA JEAN KOONTZ

Original Issue Date

09/24/2003

Effective Date

09/24/2003

Expiration Date

03/31/2005

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005