QUANEEDRIA LOGAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

Title

DDS

First Name

QUANEEDRIA

Last Name

LOGAN

Business Name

QUANEEDRIA LOGAN DDS

Original Issue Date

06/10/2010

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2024