ALYSSA M KOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219302

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

Last Name

KOCH

Prefix

Business Name

ALYSSA M KOCH

Original Issue Date

07/12/2013

Effective Date

03/03/2015

Expiration Date

03/31/2016

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/20/2016