KELLY A LOGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083456

License Status

NOT RENEWED

Business

First Name

KELLY A

Last Name

LOGAN

Business Name

KELLY A LOGAN

Original Issue Date

10/15/1986

Effective Date

10/15/1986

Expiration Date

03/31/1994

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005