WALTER BENJAMIN KOCH IV Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262103

License Status

ACTIVE

Business

First Name

WALTER

Middle

BENJAMIN

Last Name

KOCH IV

Business Name

WALTER BENJAMIN KOCH IV

Original Issue Date

12/12/2018

Effective Date

02/07/2026

Expiration Date

03/31/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/07/2026