LOGAN KONTY DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****32

ACTIVE

N

DO

LOGAN

KONTY

LOGAN KONTY DO

08/10/2022

07/21/2023

07/31/2026

OAK BROOK

IL

60523

DUPAGE

PRACTITIONER

II III IV V

N

07/21/2023