MICHAEL S LOGUE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

LOGUE

Business Name

MICHAEL S LOGUE

Original Issue Date

09/26/2002

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

SAINT LOUIS

State

Zip

63128

County

MADISON

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

03/02/2026