LOGAN K CHASTAIN MD - Medical Doctor License in Illinois | # 125066956

LOGAN K CHASTAIN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066956

License Status

EXPIRED

Business

N

Title

MD

First Name

LOGAN

Middle

K

Last Name

CHASTAIN

Business Name

LOGAN K CHASTAIN MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2020

State

IL

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

N

LastModifiedDate

11/19/2020