MILLIE JOSIE LOGAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277002346

License Status

ACTIVE

Business

First Name

MILLIE

Middle

JOSIE

Last Name

LOGAN

Business Name

MILLIE JOSIE LOGAN

Original Issue Date

11/17/2022

Effective Date

12/31/2024

Expiration Date

05/31/2026

City

BLACK JACK

State

Zip

63033

Ever Disciplined

LastModifiedDate

03/02/2026