LOGAN JAY ELIASEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216556

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

JAY

Last Name

ELIASEN

Business Name

LOGAN JAY ELIASEN

Original Issue Date

03/14/2013

Effective Date

01/24/2014

Expiration Date

03/31/2015

City

PORT BYRON

State

Zip

61275

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2015