MATHEW RICHARD KOEBEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051302604

License Status

NOT RENEWED

Business

First Name

MATHEW

Middle

RICHARD

Last Name

KOEBEL

Business Name

MATHEW RICHARD KOEBEL

Original Issue Date

09/25/2019

Effective Date

09/25/2019

Expiration Date

09/30/2020

City

GERALD

State

Zip

63037

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/14/2021