SELENA S LOGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118512

License Status

NOT RENEWED

Business

First Name

SELENA

Middle

Last Name

LOGAN

Business Name

SELENA S LOGAN

Original Issue Date

08/13/1997

Effective Date

08/13/1997

Expiration Date

03/31/1998

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

10/17/2005