TODD W LOGSDON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039443

License Status

EXPIRED

Business

First Name

TODD

Middle

Last Name

LOGSDON

Business Name

TODD W LOGSDON

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2004

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006