LOGAN MICHAEL DERBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049308721

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

MICHAEL

Last Name

DERBY

Business Name

LOGAN MICHAEL DERBY

Original Issue Date

12/26/2023

Effective Date

03/29/2024

Expiration Date

03/31/2025

City

EAST MOLINE

State

Zip

61244

County

HENRY

Ever Disciplined

LastModifiedDate

07/08/2025