MARTY KAY KOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258551

License Status

NOT RENEWED

Business

First Name

MARTY

Middle

KAY

Last Name

KOCH

Business Name

MARTY KAY KOCH

Original Issue Date

06/13/2018

Effective Date

06/13/2018

Expiration Date

03/31/2019

City

ROANOKE

State

Zip

61561

County

WOODFORD

Ever Disciplined

LastModifiedDate

07/15/2019