LOGAN MONTANA RANDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234469

License Status

NOT RENEWED

Business

First Name

LOGAN

Middle

MONTANA

Last Name

RANDOLPH

Business Name

LOGAN MONTANA RANDOLPH

Original Issue Date

07/15/2015

Effective Date

07/15/2015

Expiration Date

03/31/2016

City

PIEDMONT

State

Zip

63957

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/20/2016