CYNTHIA R LOGAN OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****83

License Status

NOT RENEWED

Business

Title

First Name

CYNTHIA

Middle

Last Name

LOGAN

Business Name

CYNTHIA R LOGAN OD

Original Issue Date

06/21/2006

Effective Date

03/25/2010

Expiration Date

03/31/2012

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/16/2012