WILLIAM J LOGUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121124

License Status

NOT RENEWED

Business

Title

First Name

WILLIAM

Middle

Last Name

LOGUE

Business Name

WILLIAM J LOGUE MD

Original Issue Date

06/09/2008

Effective Date

07/26/2011

Expiration Date

07/31/2014

City

ALBUQUERQUE

State

Zip

87111

Ever Disciplined

LastModifiedDate

11/17/2014