RICHARD LOGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036354

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

LOGAN

Suffix

Business Name

RICHARD LOGAN MD

Original Issue Date

12/08/1959

Effective Date

12/08/1959

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006