WILLIAM CARLSON LOGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

WILLIAM

Middle

CARLSON

Last Name

LOGAN

Business Name

WILLIAM CARLSON LOGAN MD

Original Issue Date

02/01/2023

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

COLUMBIA

State

Zip

29206

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023