DOVILAN LOGAN WYATT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053554

License Status

CANCELLED

Business

Title

First Name

DOVILAN

Middle

LOGAN

Last Name

WYATT

Business Name

DOVILAN LOGAN WYATT MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60619

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

06/06/2007