SUSAN ELIZABETH KOONTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207288

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ELIZABETH

Last Name

KOONTZ

Business Name

SUSAN ELIZABETH KOONTZ

Original Issue Date

10/14/2011

Effective Date

01/12/2012

Expiration Date

03/31/2013

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2013