NATHAN J KOENTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198239

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

KOENTZ

Prefix

Business Name

NATHAN J KOENTZ

Original Issue Date

05/06/2010

Effective Date

03/15/2013

Expiration Date

03/31/2014

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014