LOGAN T FREDERICK - Pharmacist License in Illinois | # 049134213

LOGAN T FREDERICK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134213

License Status

NOT RENEWED

Business

N

First Name

LOGAN

Middle

T

Last Name

FREDERICK

Business Name

LOGAN T FREDERICK

Original Issue Date

12/26/2000

Effective Date

12/26/2000

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005