LOGAN RACE WILDERMUTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295636

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

RACE

Last Name

WILDERMUTH

Business Name

LOGAN RACE WILDERMUTH

Original Issue Date

09/07/2022

Effective Date

09/07/2022

Expiration Date

03/31/2023

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

09/07/2023