TODD W LOGSDON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

First Name

TODD

Middle

Last Name

LOGSDON

Business Name

TODD W LOGSDON

Original Issue Date

11/10/2003

Effective Date

11/10/2003

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006