JESSICA LEE KOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157854

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

LEE

Last Name

KOCH

Business Name

JESSICA LEE KOCH

Original Issue Date

11/16/2004

Effective Date

11/16/2004

Expiration Date

03/31/2006

City

TALLULA

State

Zip

62688

County

MENARD

Ever Disciplined

LastModifiedDate

05/11/2006