WREN WILLOW LOGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160349

License Status

ACTIVE

Business

Title

First Name

WREN

Middle

WILLOW

Last Name

LOGAN

Business Name

WREN WILLOW LOGAN MD

Original Issue Date

04/21/2022

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2023