TABITHA LOUIS LOGUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049293407

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

LOUIS

Last Name

LOGUE

Business Name

TABITHA LOUIS LOGUE

Original Issue Date

06/17/2022

Effective Date

06/17/2022

Expiration Date

03/31/2023

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

09/07/2023