AMANDA G KOONTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222104

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

KOONTZ

Business Name

AMANDA G KOONTZ

Original Issue Date

11/20/2013

Effective Date

03/04/2019

Expiration Date

09/30/2020

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

01/08/2021