KELLIE JO LOGTERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218056

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

Last Name

LOGTERMAN

Business Name

KELLIE JO LOGTERMAN

Original Issue Date

05/21/2013

Effective Date

05/21/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014