LOGAN K CHASTAIN MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177288

License Status

NOT RENEWED

Business

Title

First Name

LOGAN

Middle

Last Name

CHASTAIN

Business Name

LOGAN K CHASTAIN MD

Original Issue Date

06/23/2007

Effective Date

01/14/2010

Expiration Date

03/31/2011

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

05/12/2011