LOGAN MITCHELL TRAYLOR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067136

License Status

EXPIRED

Business

Title

First Name

LOGAN

Middle

MITCHELL

Last Name

TRAYLOR

Business Name

LOGAN MITCHELL TRAYLOR MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2018

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

10/25/2018