CHARLES LOGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155323

License Status

ACTIVE

Business

Title

First Name

CHARLES

Last Name

LOGAN

Business Name

CHARLES LOGAN MD

Original Issue Date

01/19/2021

Effective Date

08/09/2023

Expiration Date

07/31/2026

City

SEWARD

State

Zip

99664

Ever Disciplined

LastModifiedDate

08/09/2023