JOHN MARK KOTH - Pharmacist License in Illinois | # 049151979

JOHN MARK KOTH

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151979

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/03/2013