PHILLIP KRAIG LOGSDON Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

PHILLIP KRAIG

Last Name

LOGSDON

Business Name

PHILLIP KRAIG LOGSDON

Original Issue Date

01/01/1998

Effective Date

12/10/2018

Expiration Date

01/31/2021

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021