LOGAN MICHAEL CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264108

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

MICHAEL

Last Name

CLARK

Business Name

LOGAN MICHAEL CLARK

Original Issue Date

04/05/2019

Effective Date

01/27/2020

Expiration Date

03/31/2021

City

SOUTH JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

07/20/2021