LOGAN T FREDERICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134213

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

Last Name

FREDERICK

Business Name

LOGAN T FREDERICK

Original Issue Date

12/26/2000

Effective Date

12/26/2000

Expiration Date

03/31/2003

City

BUSHNELL

State

Zip

61422

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/20/2005