JUSTIN MICHAEL LOGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128656

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

MICHAEL

Last Name

LOGAN

Business Name

JUSTIN MICHAEL LOGAN

Original Issue Date

12/16/1999

Effective Date

12/16/1999

Expiration Date

03/31/2002

City

EVANSVILLE

State

Zip

62242

County

RANDOLPH

Ever Disciplined

LastModifiedDate

12/06/2005