SHANNON DEVON LOGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153669

License Status

NOT RENEWED

Business

First Name

SHANNON

Middle

DEVON

Last Name

LOGAN

Business Name

SHANNON DEVON LOGAN

Original Issue Date

03/15/2004

Effective Date

03/15/2004

Expiration Date

03/31/2005

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005