WILLIAM J LOGUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

Last Name

LOGUE

Business Name

WILLIAM J LOGUE MD

Original Issue Date

06/13/2008

Effective Date

06/13/2008

Expiration Date

07/31/2011

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/10/2011