CYNTHIA R LOGAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****33

License Status

NOT RENEWED

Business

Title

First Name

CYNTHIA

Middle

Last Name

LOGAN

Business Name

CYNTHIA R LOGAN OD

Original Issue Date

09/09/1998

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/02/2008