KELLY MARIE LOGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137269

License Status

ACTIVE

Business

Title

First Name

KELLY

Middle

MARIE

Last Name

LOGAN

Business Name

KELLY MARIE LOGAN MD

Original Issue Date

02/09/2015

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

County

COOK

Ever Disciplined

LastModifiedDate

04/21/2023