LOGAN LEO DABERKOW Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049314743

License Status

ACTIVE

Business

First Name

LOGAN

Middle

LEO

Last Name

DABERKOW

Business Name

LOGAN LEO DABERKOW

Original Issue Date

09/03/2024

Effective Date

03/20/2025

Expiration Date

03/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/30/2026