WILLIAM R LOGAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135665

License Status

INACTIVE

Business

Title

First Name

WILLIAM

Middle

Last Name

LOGAN

Business Name

WILLIAM R LOGAN MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

SAINT LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/12/2017