DENISE A LOGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065956

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

Last Name

LOGAN

Business Name

DENISE A LOGAN

Original Issue Date

08/20/1976

Effective Date

08/20/1976

Expiration Date

03/31/1992

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005