PHILLIP KRAIG LOGSDON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003166

License Status

NOT RENEWED

Business

First Name

PHILLIP KRAIG

Last Name

LOGSDON

Business Name

PHILLIP KRAIG LOGSDON

Original Issue Date

06/23/1980

Effective Date

12/10/2018

Expiration Date

01/31/2021

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/11/2021