BRIAN W LOGUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116984

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

LOGUE

Business Name

BRIAN W LOGUE

Original Issue Date

04/01/1997

Effective Date

04/01/1997

Expiration Date

03/31/1999

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005