TABITHA N KOCH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210268

License Status

INACTIVE

Business

First Name

TABITHA

Middle

Last Name

KOCH

Business Name

TABITHA N KOCH

Original Issue Date

04/11/2012

Effective Date

01/14/2013

Expiration Date

03/31/2014

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

01/09/2014