LOGAN DWIGHT ALLSUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261941

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

DWIGHT

Last Name

ALLSUP

Business Name

LOGAN DWIGHT ALLSUP

Original Issue Date

12/10/2018

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

07/20/2021