ELIZABETH A LOGAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083416

License Status

NOT RENEWED

Business

First Name

ELIZABETH A

Last Name

LOGAN

Suffix

Business Name

ELIZABETH A LOGAN DO

Original Issue Date

09/12/1991

Effective Date

09/12/1991

Expiration Date

07/31/1993

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006