Jacob Avery Koontz
ActiveCalifornia license 69055
License
- Licensed by
- California State Board of Pharmacy
- License number
- 69055
- Status
- Active
- First issued
- July 26, 2013
- Expired
- October 31, 2026
- License holder
- Jacob Avery Koontz
- Entity type
- Individual
Classifications
- Registered Pharmacist Pharmacy
More from the license record
- License type code
- RPH
- School
- Duquesne University (pennsylvania)
- Year graduated
- 2012
- Degree
- Pharm/d Or Dr. Of Pharmacy
Contact
1040 Emerald Bay Rd
South Lake Tahoe, CA 96150
South Lake Tahoe, CA 96150
El Dorado County