SAMUEL T LOGAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

INACTIVE

Business

First Name

SAMUEL

Middle

Last Name

LOGAN

Business Name

SAMUEL T LOGAN

Original Issue Date

09/08/2015

Effective Date

05/24/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60622

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/23/2018