OCTAVIA LOGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269350

License Status

NOT RENEWED

Business

First Name

OCTAVIA

Last Name

LOGAN

Business Name

OCTAVIA LOGAN

Original Issue Date

11/22/2019

Effective Date

11/22/2019

Expiration Date

09/30/2020

City

NORTHLAKE

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021