LORI B LOGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160633

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

LOGAN

Business Name

LORI B LOGAN

Original Issue Date

04/27/2005

Effective Date

01/21/2009

Expiration Date

03/31/2010

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2010