LOGAN RACE WILDERMUTH - Pharmacist License in Illinois | # 049295636

LOGAN RACE WILDERMUTH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295636

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023