CYNTHIA R LOGAN OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047932209

License Status

CANCELLED

Business

Title

First Name

CYNTHIA

Middle

Last Name

LOGAN

Business Name

CYNTHIA R LOGAN OD

Original Issue Date

05/04/2006

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/04/2010