MARY LOGSDON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

NOT RENEWED

Business

First Name

MARY

Last Name

LOGSDON

Business Name

MARY LOGSDON

Original Issue Date

08/30/2016

Effective Date

03/15/2018

Expiration Date

09/30/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021