LOGAN THOMAS MOUGIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282638

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

THOMAS

Last Name

MOUGIN

Business Name

LOGAN THOMAS MOUGIN

Original Issue Date

05/27/2021

Effective Date

05/27/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022