KIMBLYN LAVETTE LOGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160327

License Status

NOT RENEWED

Business

First Name

KIMBLYN

Middle

LAVETTE

Last Name

LOGAN

Business Name

KIMBLYN LAVETTE LOGAN

Original Issue Date

04/18/2005

Effective Date

04/18/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006