MICHAEL DENNIS KOEPPEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030189

License Status

NOT RENEWED

Business

First Name

MICHAEL DENNIS

Last Name

KOEPPEN

Business Name

MICHAEL DENNIS KOEPPEN

Original Issue Date

08/02/1974

Effective Date

08/02/1974

Expiration Date

03/31/1984

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005