LOGAN L BONGLORSI - Pharmacist License in Illinois | # 049159237

LOGAN L BONGLORSI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159237

License Status

NOT RENEWED

Business

N

First Name

LOGAN

Middle

L

Last Name

BONGLORSI

Business Name

LOGAN L BONGLORSI

Original Issue Date

02/14/2005

Effective Date

02/14/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006