CYNTHIA R LOGAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047028781

License Status

NOT RENEWED

Business

Title

First Name

CYNTHIA

Middle

Last Name

LOGAN

Business Name

CYNTHIA R LOGAN OD

Original Issue Date

07/05/1996

Effective Date

11/01/2006

Expiration Date

03/31/2008

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2008