LOGAN RENEE GRUBB MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173042

License Status

ACTIVE

Business

Title

First Name

LOGAN

Middle

RENEE

Last Name

GRUBB

Business Name

LOGAN RENEE GRUBB MD

Original Issue Date

12/12/2024

Effective Date

12/12/2024

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/10/2024