RACHEL LYNNE LOGAN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064591

License Status

CANCELLED

Business

Title

First Name

RACHEL

Middle

LYNNE

Last Name

LOGAN

Business Name

RACHEL LYNNE LOGAN DO

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/25/2014