LOGAN TYLER GARTHE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076610

License Status

EXPIRED

Business

Title

First Name

LOGAN

Middle

TYLER

Last Name

GARTHE

Business Name

LOGAN TYLER GARTHE MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2023

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/06/2024