LANCE G LOGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161996

License Status

NOT RENEWED

Business

First Name

LANCE

Middle

Last Name

LOGAN

Business Name

LANCE G LOGAN

Original Issue Date

06/29/2005

Effective Date

01/20/2009

Expiration Date

03/31/2010

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/04/2010