BETHANY A LOGUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133197

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

Last Name

LOGUE

Business Name

BETHANY A LOGUE

Original Issue Date

10/17/2000

Effective Date

10/17/2000

Expiration Date

03/31/2002

City

WESTERVELT

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

12/06/2005