CYNTHIA R LOGAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****18

License Status

NOT RENEWED

Business

Title

First Name

CYNTHIA

Middle

Last Name

LOGAN

Business Name

CYNTHIA R LOGAN OD

Original Issue Date

09/24/1997

Effective Date

03/01/2004

Expiration Date

03/31/2006

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/01/2016