License holder summary

KOCH IVAN is a Pharmacy - Designated Representative (Exemptees) licensed to practice in California. The address on file for KOCH IVAN is 3238 DWIGHT ROAD ELK GROVE CA 95758. This licensed professional license is not current. The license was granted 03/24/1998 and expired on 03/01/2000.

California

Department of Consumer Affairs

KOCH IVAN
Pharmacy - Designated Representative (Exemptees)
License number
14219
Date granted
03/24/1998
Date expires
03/01/2000
Class
Pharmacy - Designated Representative (Exemptees)
Status
Canceled
Address
3238 DWIGHT ROAD ELK GROVE CA 95758
californialicensing.org
ID 11667122
LAST UPDATED 2024-02-11 10:04:58 UTC

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