LOGAN ANTHONY WAGNER Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049316220

License Status

ACTIVE

Business

First Name

LOGAN

Middle

ANTHONY

Last Name

WAGNER

Business Name

LOGAN ANTHONY WAGNER

Original Issue Date

10/30/2024

Effective Date

03/13/2025

Expiration Date

03/31/2026

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/30/2026