LOGAN JOSEPH JACKSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077323

License Status

EXPIRED

Business

Title

First Name

LOGAN

Middle

JOSEPH

Last Name

JACKSON

Business Name

LOGAN JOSEPH JACKSON MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

11/03/2025