MICHAEL PATRICK LOGAN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069477

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

PATRICK

Last Name

LOGAN

Business Name

MICHAEL PATRICK LOGAN MD

Original Issue Date

06/27/2016

Effective Date

06/27/2016

Expiration Date

06/26/2019

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/09/2016