LOGAN LLOYD WARNER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074865

License Status

CANCELLED

Business

Title

First Name

LOGAN

Middle

LLOYD

Last Name

WARNER

Business Name

LOGAN LLOYD WARNER DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/11/2019