LOGAN GAYLE HERTENSTEIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190629

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

GAYLE

Last Name

HERTENSTEIN

Business Name

LOGAN GAYLE HERTENSTEIN

Original Issue Date

04/01/2009

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

05/12/2011