ANITA L KOONTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216577

License Status

NOT RENEWED

Business

First Name

ANITA

Middle

Last Name

KOONTZ

Prefix

Business Name

ANITA L KOONTZ

Original Issue Date

03/14/2013

Effective Date

03/14/2017

Expiration Date

03/31/2018

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

06/19/2018