AMY NICOLE KOEHN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155357

License Status

NOT RENEWED

Business

First Name

AMY

Middle

NICOLE

Last Name

KOEHN

Business Name

AMY NICOLE KOEHN

Original Issue Date

06/18/2004

Effective Date

06/18/2004

Expiration Date

03/31/2006

City

BRAIDWOOD

State

Zip

60408

County

WILL

Ever Disciplined

LastModifiedDate

05/11/2006