TIMOTHY ROBERT KOCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152941

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

ROBERT

Last Name

KOCH

Business Name

TIMOTHY ROBERT KOCH

Original Issue Date

01/21/2004

Effective Date

01/21/2004

Expiration Date

03/31/2005

City

KIRKSVILLE

State

Zip

63501

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/20/2005