JOHN MARK KOTH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151979

License Status

INACTIVE

Business

First Name

JOHN

Middle

MARK

Last Name

KOTH

Business Name

JOHN MARK KOTH

Original Issue Date

10/30/2003

Effective Date

02/14/2012

Expiration Date

03/31/2013

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

01/03/2013