MALLORY MAUREEN LOGSDON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

MALLORY

Middle

MAUREEN

Last Name

LOGSDON

Business Name

MALLORY MAUREEN LOGSDON DO

Original Issue Date

06/17/2014

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023